Organization
SSC DENTAL CENTER LLC
Active
Other names
Sullivan Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK V SULLIVAN (GENERAL DENTIST OWNER)
(225) 635-4422
Entity
Organization
Contact information
Practice address
5436 COMMERCE ST, SAINT FRANCISVILLE, LA 70775-2880
(225) 635-4422
(225) 635-2171
Mailing address
PO BOX 2880, SAINT FRANCISVILLE, LA 70775-2880
(225) 635-4422
(225) 635-2171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
05/21/2008
Last updated
05/27/2008
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