Mr Roger Barrett Sullivan Jr, DDS | |
449 N Grand St, Schoolcraft, MI 49087-9141 | |
(269) 679-5285 | |
Not Available |
Full Name | Mr Roger Barrett Sullivan Jr |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 449 N Grand St, Schoolcraft, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669600425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13518 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Roger Barrett Sullivan Jr, DDS Po Box 237, 449 N. Grand St, Schoolcraft, MI 49087-0237 Ph: (269) 679-5285 | Mr Roger Barrett Sullivan Jr, DDS 449 N Grand St, Schoolcraft, MI 49087-9141 Ph: (269) 679-5285 |
Dr. Brenton David Habecker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 529 N Grand St, Schoolcraft, MI 49087 Phone: 269-679-5584 | |
Dr. David Earl Habecker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 529 N Grand St, Schoolcraft, MI 49087 Phone: 269-679-5584 Fax: 269-679-5028 |