Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
185 HIGHLAND AVE, SEEKONK, MA 02771-5818
(508) 812-4140
Mailing address
8 ADAMS DR, COVENTRY, RI 02816-6213
(401) 450-7149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859062
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2020
Last updated
09/10/2021
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