# DR. SEAN TIMOTHY SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750421830
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5674 | NE | — |
| 1223G0001X | General Practice Dentistry | 37607 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 12/02/2010