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Dr. Jennifer Chang Sullivan, DDS,MSD
Periodontist in Lexington, Massachusetts
NPI 1356681654

Jennifer Chang Sullivan is a Periodontist based in Lexington, MA and is specialized in Periodontics. Jennifer Chang Sullivan practices in Lexington, MA and has the professional credentials of DDS,MSD. The NPI Number for Jennifer Chang Sullivan is 1356681654 and holds a License No. S125 (Massachusetts).

The current practice location address for Jennifer Chang Sullivan is 35 Bedford St Ste 20, Lexington, MA and can be reached out via phone at 617-468-8696.

Location: 35 Bedford St Ste 20, Lexington, MA, 02420-4440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356681654
Provider Name
Jennifer Chang Sullivan
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Female
Address
35 Bedford St Ste 20, Lexington, MA, 02420-4440
Phone Number
617-468-8696
Fax Number
Provider Enumeration Date
02/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35 Bedford St Ste 20
City
Lexington
State
Massachusetts
Zip
02420-4440
Phone Number
617-468-8696
Fax Number
person
Provider Business Mailing Address Details
Address
35 Bedford St Ste 20
City
Lexington
State
Massachusetts
Zip
02420-4440
Phone Number
617-468-8696
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
S125 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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