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.
| Name: | Mark R Sullivan Dds |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 54951 Mound Road, Shelby Twp, Michigan, 48316-6028 |
| Phone: | 586-797-9118 |
| Fax: | 586-797-9085 |
Authorized/Official Person Profile:
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.