Organization
MICHAEL J. SULLIVAN, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LEIGH SULLIVAN (OFFICE MANAGER)
(614) 761-9393
Entity
Organization
Contact information
Practice address
1882 HARD RD, COLUMBUS, OH 43235-1996
(614) 761-9393
(617) 761-9363
Mailing address
1882 HARD RD, COLUMBUS, OH 43235-1996
(614) 761-9393
(617) 761-9363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.016980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469265
—
OH
01
—
1154672038
NPI
—
Enumeration date
06/13/2014
Last updated
06/13/2014
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