Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER CHANG SULLIVAN, D.D.S., MSD
Active Sole ProprietorDR. JENNIFER CHANG SULLIVAN, D.D.S., MSD is a Periodontology healthcare provider located in LEXINGTON, Massachusetts. NPI 1356681654 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LEXINGTON, MA
Registration Details
- NPI Number
- 1356681654
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2013 (13.43541940621 yrs)
- Last Updated
- Oct 1, 2023
- Licenses
-
S125 (MN)26373 (TX)1859858 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 BEDFORD ST STE 20LEXINGTON, MA, 024204440Browse MA providers · Browse ZIP 02420
- Phone
- 6174688696
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
Other Periodontology Providers in LEXINGTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MURRY A AWRACH | D.M.D., D.SC. | 1285854596 |
| SASHA MOHAMMADI | DDS, MS | 1477045334 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.