Individual
MADELINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2400
Mailing address
9110 W TROPICANA AVE UNIT 289, LAS VEGAS, NV 89147-8254
(916) 990-3111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8188
NV
Other
Enumeration date
05/31/2025
Last updated
01/03/2026
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