Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT MICHAEL SULLIVAN, D.M.D., M.D.
Active Sole ProprietorBRETT MICHAEL SULLIVAN, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CLACKAMAS, Oregon. NPI 1629268966 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CLACKAMAS, OR
Registration Details
- NPI Number
- 1629268966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (18.999574990022 yrs)
- Last Updated
- Dec 6, 2024
- Licenses
-
D9737 (OR)2007019263 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11211 SE SUNNYSIDE RDCLACKAMAS, OR, 970157787Browse OR providers · Browse ZIP 97015
- Phone
- 5036528080
- Fax
- 5035268992
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Dentist
Other Oral & Maxillofacial Surgery Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN L KRUMP | DDS | 1891874467 |
| DR. KELLY ANN DEZURA | D.M.D. | 1306009881 |
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.