Individual
DR. MATTHEW T SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1315 W WESTRIDGE PKWY, GREENSBURG, IN 47240-3251
(812) 663-8088
Mailing address
1315 W WESTRIDGE PKWY, GREENSBURG, IN 47240-3251
(812) 663-8088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012285A
IN
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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