Brett Michael Sullivan, DMD, MD - Dentist in Portland, OR

Brett Michael Sullivan, DMD, MD is a Dentist - Oral And Maxillofacial Surgery based in Portland, Oregon. Brett Michael Sullivan is licensed to practice in Oregon (license number D9737) and his current practice location is 2428 Ne Wasco St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 301-3818.

NPI number for Brett Michael Sullivan is 1629268966 and his current mailing address is 11211 Se Sunnyside Rd, Clackamas, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629268966.

Contact Information

Brett Michael Sullivan, DMD, MD
2428 Ne Wasco St,
Portland, OR 97232
(541) 301-3818
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrett Michael Sullivan
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location2428 Ne Wasco St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629268966
  • Provider Enumeration Date: 08/01/2007
  • Last Update Date: 06/08/2021

Medical Identifiers

Medical identifiers for Brett Michael Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629268966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2007019263 (Missouri)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery D9737 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brett Michael Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brett Michael Sullivan, DMD, MD
11211 Se Sunnyside Rd,
Clackamas, OR 97015-7787

Ph: (503) 652-8080
Brett Michael Sullivan, DMD, MD
2428 Ne Wasco St,
Portland, OR 97232

Ph: (541) 301-3818

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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