| Brett Michael Sullivan, DMD, MD | |
|
11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 | |
| (503) 652-8080 | |
| (503) 526-8992 |
| Full Name | Brett Michael Sullivan |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11211 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629268966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9737 (Oregon) | Primary |
| 122300000X | Dentist | 2007019263 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Michael Sullivan, DMD, MD 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 Ph: (503) 652-8080 | Brett Michael Sullivan, DMD, MD 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 Ph: (503) 652-8080 |
Joy M Imholt, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10209 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-353-3900 |
Michael Allan Brown, D.M.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12014 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-698-6900 |
Dr. David Kenneth Walker, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10209 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-353-3900 |
Katherine Mong Cook, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-655-8471 Fax: 503-655-8595 |
Dustin Michael Davis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 11411 Se Sunnyside Rd Ste 101, Clackamas, OR 97015 Phone: 503-855-5100 |
Dr. Grant Alexander, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16144 Se Happy Valley Town Center Dr, Clackamas, OR 97086 Phone: 503-667-2400 |
Jeremy Huttner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-655-8471 |