Michelle Sullivan

NPI #1780338459 in Bettendorf, Iowa

Provider Information

NPI Number: 1780338459
Entity Type: Individual
Name: Michelle Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 10, 2022
Last Updated: Feb 10, 2022

Practice Location

Address: 3625 UTICA RIDGE RD STE C
City: Bettendorf
State: Iowa
ZIP Code: 52722-1653
Phone: (563) 259-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

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