Individual
DR. WILLIAM KEVIN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 MCGREGOR ST, E-542, MANCHESTER, NH 03102-3730
(603) 663-6226
(603) 663-7800
Mailing address
100 MCGREGOR ST, E-542, MANCHESTER, NH 03102-3730
(603) 663-6226
(603) 663-7800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3221
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30301692
—
NH
Enumeration date
06/10/2005
Last updated
08/17/2007
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