# CORNELIUS J. O'SULLIVAN IV, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** O'Sullivan Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730961616
- **Authorized official:** DR. CORNELIUS JOSEPH O'SULLIVAN IV DDS (GENERAL DENTIST)
- **Authorized official phone:** (216) 407-4351

## Contact information

- **Practice address:** 23755 LORAIN RD, NORTH OLMSTED, OH 44070-2260
- **Practice address phone:** (440) 779-8730
- **Mailing address:** 23755 LORAIN RD, NORTH OLMSTED, OH 44070-2260
- **Mailing address phone:** (440) 779-8730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023