Dr. Mark Robert Sullivan is a Shelby Township, Michigan based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark Robert Sullivan is
12343 for General Practice Dentistry in Michigan. His current practice location is
54951 Mound Rd, Shelby Township. Patients can reach him at
586-797-9118.
Dr. Mark Robert Sullivan is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mark Robert Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mark Robert Sullivan |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 54951 Mound Rd, Shelby Township,
Michigan, 48316-6028 |
| Phone: | 586-797-9118 |
| Fax: | 586-797-9085 |
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 are as mentioned below.
| NPI Number: | 1407056112 |
| NPI Enumeration Date: | 20 Jul, 2007 |
| NPI Last Update On: | 25 May, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Robert Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| 12343 | General Practice Dentistry | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Robert Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4062594 | Medicaid | Michigan | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 55191 Shelby Rd,
Shelby Township, Michigan |
| Zip: | 48316-1150 |
| Phone Number: | 586-797-9118 |
| Fax Number: | 586-797-9085 |
Patients can reach Dr. Mark Robert Sullivan at
54951 Mound Rd, Shelby Township, 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.