Mark R Sullivan Dds is a Dental Clinic in Shelby Twp, Michigan. It is located at 54951 Mound Road, Shelby Twp, MI and its contact number is 586-797-9118. The authorized person for Mark R Sullivan Dds is Mark Sullivan
who is Dentist of the clinic and their contact number is 586-797-9118. The primary license number for Mark R Sullivan Dds is 12343 (General Practice) in Michigan. Mark R Sullivan Dds Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mark R Sullivan Dds Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mark Sullivan
Position:
Dentist
Contact Number:
586-797-9118
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mark R Sullivan Dds clinic are as mentioned below.
NPI Number:
1851461347
NPI Enumeration Date:
09 Nov, 2006
NPI Last Update On:
17 Jul, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark R Sullivan Dds are as mentioned below.
Specialization
License Number
State
Status
General Practice
12343
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4062594
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark R Sullivan Dds 54951 Mound Road, Shelby Twp, Michigan
Zip:
48316-6028
Phone Number:
586-797-9118
Fax Number:
586-797-9085
Patients can reach Mark R Sullivan Dds at 54951 Mound Road, Shelby Twp, Michigan or can call to book an appointment on 586-797-9118. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.