Sullivan Family Dental Llc | |
1209 Somerset Ave #3 Dighton MA 02715-1224 | |
(508) 692-8289 | |
Not Available |
Full Name | Sullivan Family Dental Llc |
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Speciality | Dentist |
Location | 1209 Somerset Ave, Dighton, Massachusetts |
Authorized Official Name and Position | Allyce Colette Sullivan (OWNER) |
Authorized Official Contact | 5086928289 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sullivan Family Dental Llc 1209 Somerset Ave #3 Dighton MA 02715-1224 Ph: (508) 692-8289 | Sullivan Family Dental Llc 1209 Somerset Ave #3 Dighton MA 02715-1224 Ph: (508) 692-8289 |
NPI Number | 1336547280 |
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Provider Enumeration Date | 12/09/2014 |
Last Update Date | 12/09/2014 |
Identifier | Type | State | Issuer |
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1336547280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |