Individual
DR. MICHAEL JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1882 HARD RD, COLUMBUS, OH 43235-1996
(614) 761-9393
(614) 761-9363
Mailing address
1882 HARD RD, COLUMBUS, OH 43235-1996
(614) 761-9393
(614) 761-9363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16980
OH
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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