Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ROBERT SULLIVAN, DDS
Active Sole ProprietorDR. MARK ROBERT SULLIVAN, DDS is a General Dentistry healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1407056112 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHELBY TOWNSHIP, MI
Registration Details
- NPI Number
- 1407056112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2007 (19.084955078576 yrs)
- Last Updated
- May 25, 2016
- License
-
12343 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
54951 MOUND RDSHELBY TOWNSHIP, MI, 483166028Browse MI providers · Browse ZIP 48316
- Phone
- 5867979118
- Fax
- 5867979085
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SHELBY TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN P VANI | DDS PLLC | 1942289707 |
| MRS. ANNETTE MARY SKOWRONSKI-LANGWORTHY | — | 1407806227 |
| RONALD D GEB | DDS | 1609986009 |
| DR. WILLIAM RUFUS MONKS | DDS | 1245331164 |
| DR. ROSE ANN JEANETTE BARTNIK | DDS | 1235230145 |
| DR. HEATHER PRANZARONE STRATTON | D.D.S. | 1124113634 |
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.