Dr. Brian L Sullivan Jr., DMD
Dentist in Derry, New Hampshire
1740859966- Practice location
- 55 E Broadway Unit 1, Derry, NH 03038-2401
- Phone
- 603-548-3865
- Fax
- —
- Last updated
- June 22, 2021
Brian Lawrence Sullivan is a Dentist based in Derry, NH. Brian Lawrence Sullivan practices in Derry, NH and has the professional credentials of DMD. The NPI Number for Brian Lawrence Sullivan is 1740859966 and holds a License No. 04654 (NH). The current practice location address for Brian Lawrence Sullivan is 55 E Broadway Unit 1, Derry, NH 03038-2401 and can be reached out via phone at 603-548-3865.
Provider Profile Details
- NPI Number
- 1740859966
- Provider Name
- Brian Lawrence Sullivan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 E Broadway Unit 1, Derry, NH 03038-2401
- Phone Number
- 603-548-3865
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2021
- Last Update Date
- June 22, 2021
- Certification Date
- June 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 E Broadway Unit 1
Derry, NH 03038-2401 - City
- Derry
- State
- New Hampshire
- Zip
- 03038-2401
- Phone Number
- 603-548-3865
Provider Business Mailing Address Details
- Address
- 373 Haverhill RD
Chester, NH 03036-4209 - City
- Chester
- State
- NH
- Zip
- 03036-4209
- Phone Number
- 603-548-3865
License Information
- License Number
- 04654
- License State
- NH
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Derry, NH
View all Dentists in Derry →Frequently Asked Questions
What is the NPI number of Dr. Brian L Sullivan Jr., DMD?
The NPI number of Dr. Brian L Sullivan Jr., DMD is 1740859966. It was assigned on June 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Brian L Sullivan Jr., DMD?
Dr. Brian L Sullivan Jr., DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NH under license number 04654.
Where does Dr. Brian L Sullivan Jr., DMD practice?
The practice location is 55 E Broadway Unit 1, Derry, NH 03038-2401. The office can be reached at 603-548-3865 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740859966 directly on the NPPES registry website.