Sullivan Family Dental LLC

NPI #1336547280 in Dighton, Massachusetts

Provider Information

NPI Number: 1336547280
Entity Type: Organization
Organization Name: Sullivan Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 1209 SOMERSET AVE
Address 2: #3
City: Dighton
State: Massachusetts
ZIP Code: 02715-1224
Phone: (508) 692-8289

Authorized Official

Name: ALLYCE COLETTE SULLIVAN, DMD
Title: OWNER
Phone: (508) 692-8289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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