Individual
MICHAEL ANTHONY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
233 N SPRINGBORO PIKE, DAYTON, OH 45449-3641
(937) 428-6590
Mailing address
5130 MICHAEL ANTHONY LN, CINCINNATI, OH 45247-7944
(231) 675-9570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022906
OH
1223G0001X
General Practice Dentistry
2901019909
MI
Other
Enumeration date
01/24/2008
Last updated
11/03/2025
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