MR. Roger Barrett Sullivan JR., DDS
NPI #1669600425 in Schoolcraft, Michigan
Provider Information
- NPI Number
- 1669600425
- Entity Type
- Individual
- Name
- MR. Roger Barrett Sullivan JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 30, 2009
- Last Updated
- Jun 30, 2009
Practice Location
- Address
- 449 N GRAND ST
- City
- Schoolcraft
- State
- Michigan
- ZIP Code
- 49087-9141
- Phone
- (269) 679-5285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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