DR. Ryan Joel Sullivan, D.M.D.

NPI #1669733424 in Blasdell, New York

Provider Information

NPI Number: 1669733424
Entity Type: Individual
Name: DR. Ryan Joel Sullivan, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 7, 2012
Last Updated: May 11, 2016

Practice Location

Address: 4154 MCKINLEY PKWY
City: Blasdell
State: New York
ZIP Code: 14219-2995
Phone: (716) 649-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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