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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SULLIVAN DENTAL PARTNERSHIP LLC

Active Organization

SULLIVAN DENTAL PARTNERSHIP LLC is a Customized Equipment (DME) organization located in SULLIVAN, Missouri. NPI 1558666768 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · SULLIVAN, MO

Registration Details

NPI Number
1558666768
Provider Type
Organization
NPI Issued
Jan 19, 2011 (15.595326023492 yrs)
Last Updated
Jan 19, 2011
License
12409 (MO)

Practice Information

Address
300 WALMART DR
SULLIVAN, MO, 630803333
Browse MO providers · Browse ZIP 63080
Phone
5738602552
Fax
5738604553
Primary Specialty
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.