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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.