Beacon Dental Center
NPI #1205205267 in Charlevoix, Michigan
Provider Information
- NPI Number
- 1205205267
- Entity Type
- Organization
- Organization Name
- Beacon Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 21, 2015
Practice Location
- Address
- 6483 M 66 N
- City
- Charlevoix
- State
- Michigan
- ZIP Code
- 49720-9272
- Phone
- (231) 547-9141
Authorized Official
- Name
- DR. MICHAEL A SULLIVAN, DDS
- Title
- OWNER / DOCTOR
- Phone
- (231) 547-9141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
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