| David M. Sullivan DMD, PC | |
|
40 Church Ave Suite 203 Wareham MA 02571-2093 | |
| (508) 273-0110 | |
| (508) 273-0112 |
| Full Name | David M. Sullivan DMD, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 40 Church Ave, Wareham, Massachusetts |
| Authorized Official Name and Position | David M Sullivan (DENTIST) |
| Authorized Official Contact | 5082730110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Sullivan DMD, PC 40 Church Ave Suite 203 Wareham MA 02571-2093 Ph: (508) 273-0110 | David M. Sullivan DMD, PC 40 Church Ave Suite 203 Wareham MA 02571-2093 Ph: (508) 273-0110 |
| NPI Number | 1255510640 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19523 (Massachusetts) | Primary |
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