Reanna Leigh Sullivan, is a
Dentist based in Oak Creek, Colorado. Reanna Leigh Sullivan is licensed to practice in Colorado (license number 105925020) and her current practice location is
300 Main St., Oak Creek, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 824-8000.
NPI number for Reanna Leigh Sullivan is 1295393114 and her current mailing address is 940 Central Park Dr Ste 101, Steamboat Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295393114.
Healthcare Provider's Profile
Full Name | Reanna Leigh Sullivan |
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Gender | Female |
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Speciality | Dentist |
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Location | 300 Main St., Oak Creek, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295393114
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 04/03/2023
Medical Identifiers
Medical identifiers for Reanna Leigh Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295393114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 105925020 (Colorado) | 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. Reanna Leigh 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 Address | Practice Location Address |
Reanna Leigh Sullivan, 940 Central Park Dr Ste 101, Steamboat Springs, CO 80487-8853 Ph: () - | Reanna Leigh Sullivan, 300 Main St., Oak Creek, CO 80467 Ph: (970) 824-8000 |
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