DR. Michael Patrick Sullivan, DDS

NPI #1457647083 in Geneva, Nebraska

Provider Information

NPI Number: 1457647083
Entity Type: Individual
Name: DR. Michael Patrick Sullivan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 1008 G SREET
City: Geneva
State: Nebraska
ZIP Code: 68361
Phone: (402) 759-4288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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