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Dr. Ellen J Sullivan, DDS
General Practice Dentistry in Queens Village, New York
NPI 1598759789

Ellen J Sullivan is a General Practice Dentistry based in Queens Village, NY and is specialized in General Practice. Ellen J Sullivan practices in Queens Village, NY and has the professional credentials of DDS. The NPI Number for Ellen J Sullivan is 1598759789 and holds a License No. 036823 (New York).

The current practice location address for Ellen J Sullivan is 21414 Spencer Ave, Queens Village, NY and can be reached out via phone at 718-468-1812 and via fax at 718-468-1815.

Location: 21414 Spencer Ave, Queens Village, NY, 11427-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598759789
Provider Name
Ellen J Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
21414 Spencer Ave, Queens Village, NY, 11427-1821
Phone Number
718-468-1812
Fax Number
718-468-1815
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21414 Spencer Ave
City
Queens Village
State
New York
Zip
11427-1821
Phone Number
718-468-1812
Fax Number
718-468-1815
person
Provider Business Mailing Address Details
Address
21414 Spencer Ave
City
Queens Village
State
New York
Zip
11427-1821
Phone Number
718-468-1812
Fax Number
718-468-1815
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
036823 (New York)
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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