| Sullivan Family Dental Llc | |
|
1209 Somerset Ave #3 Dighton MA 02715-1224 | |
| (508) 692-8289 | |
| Not Available |
| Full Name | Sullivan Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1209 Somerset Ave, Dighton, Massachusetts |
| Authorized Official Name and Position | Allyce Colette Sullivan (OWNER) |
| Authorized Official Contact | 5086928289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Family Dental Llc 1209 Somerset Ave #3 Dighton MA 02715-1224 Ph: (508) 692-8289 | Sullivan Family Dental Llc 1209 Somerset Ave #3 Dighton MA 02715-1224 Ph: (508) 692-8289 |
| NPI Number | 1336547280 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336547280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |