Organization
JOHN M. SULLIVAN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. SULLIVAN DDS (OWNER)
(810) 742-6060
Entity
Organization
Contact information
Practice address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Mailing address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012666
MI
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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