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Sullivan Dental Partnership Llc
Customized Equipment (DME) in Sullivan, Missouri
NPI 1558666768

Sullivan Dental Partnership Llc is a Customized Equipment (DME) based in Sullivan, MO and is specialized in Customized Equipment. Sullivan Dental Partnership Llc practices in Sullivan, MO. The NPI Number for Sullivan Dental Partnership Llc is 1558666768 and holds a License No. 12409 (Missouri).

The current practice location address for Sullivan Dental Partnership Llc is 300 Walmart Dr, Sullivan, MO and can be reached out via phone at 573-860-2552 and via fax at 573-860-4553.

Location: 300 Walmart Dr, Sullivan, MO, 63080-3333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558666768
Provider Name
Sullivan Dental Partnership Llc
Credential
Provider Entity Type
Organization
Address
300 Walmart Dr, Sullivan, MO, 63080-3333
Phone Number
573-860-2552
Fax Number
573-860-4553
Provider Enumeration Date
01/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Walmart Dr
City
Sullivan
State
Missouri
Zip
63080-3333
Phone Number
573-860-2552
Fax Number
573-860-4553
person
Provider Business Mailing Address Details
Address
300 Walmart Dr
City
Sullivan
State
Missouri
Zip
63080-3333
Phone Number
573-860-2552
Fax Number
573-860-4553
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
12409 (Missouri)
Definition
Definition to come...
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