| Lawrence P Sullivan Dds Professional Corporation | |
|
11 Sparta Ave Sparta NJ 07871-1801 | |
| (973) 729-3785 | |
| (973) 729-4813 |
| Full Name | Lawrence P Sullivan Dds Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 11 Sparta Ave, Sparta, New Jersey |
| Authorized Official Name and Position | Lawrence P Sullivan (OWNER) |
| Authorized Official Contact | 9737293785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence P Sullivan Dds Professional Corporation 11 Sparta Ave Sparta NJ 07871-1801 Ph: (973) 729-3785 | Lawrence P Sullivan Dds Professional Corporation 11 Sparta Ave Sparta NJ 07871-1801 Ph: (973) 729-3785 |
| NPI Number | 1841339900 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841339900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12124 (New Jersey) | Primary |
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