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Dr. Mark Robert Sullivan, DDS
General Practice Dentistry in Shelby Township, Michigan
NPI 1407056112

Mark Robert Sullivan is a General Practice Dentistry based in Shelby Township, MI and is specialized in General Practice. Mark Robert Sullivan practices in Shelby Township, MI and has the professional credentials of DDS. The NPI Number for Mark Robert Sullivan is 1407056112 and holds a License No. 12343 (Michigan).

The current practice location address for Mark Robert Sullivan is 54951 Mound Rd, Shelby Township, MI and can be reached out via phone at 586-797-9118 and via fax at 586-797-9085.

Location: 54951 Mound Rd, Shelby Township, MI, 48316-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407056112
Provider Name
Mark Robert Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
54951 Mound Rd, Shelby Township, MI, 48316-1150
Phone Number
586-797-9118
Fax Number
586-797-9085
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4062594 05 MI
institution
Provider Business Practice Location Address Details
Address
54951 Mound Rd
City
Shelby Township
State
Michigan
Zip
48316-6028
Phone Number
586-797-9118
Fax Number
586-797-9085
person
Provider Business Mailing Address Details
Address
54951 Mound Rd
City
Shelby Township
State
Michigan
Zip
48316-6028
Phone Number
586-797-9118
Fax Number
586-797-9085
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12343 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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