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DR. MARK ROBERT SULLIVAN DDS
NPI 1407056112
Dentist - General Practice in Shelby Township, MI

Active since July 20, 2007
54951 MOUND RD, SHELBY TOWNSHIP, MI 48316(586) 797-9118(586) 797-9085 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Robert Sullivan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ROBERT SULLIVAN DDS (NPI 1407056112) is an individual general practice provider in Shelby Township, Michigan, licensed in Michigan (12343) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1407056112
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ROBERT SULLIVANCredential: DDS
Location Address54951 MOUND RDShelby Township, MI 48316-6028
Mailing Address55191 Shelby RdShelby Township, MI 48316-1150 · (586) 797-9118 · Fax (586) 797-9085
Phone(586) 797-9118
Fax(586) 797-9085
Sole ProprietorYes
Enumeration DateJuly 20, 2007
Last NPPES UpdateMay 25, 2016
✔ NPI 1407056112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 12343
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
54951 MOUND RD, Shelby Township, MI 48316
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Other Identifiers 1

Medicaid4062594MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN P. MURRELL, D.D.S., P.C.
Clinic/Center (Dental)
54951 MOUND RD
SHELBY TWP, MI 48316
Macomb County (586) 677-9099
MR. KEVIN P MURRELL DDS
Dentist
54951 MOUND RD
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 677-9099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sullivan's NPI number?

The NPI number for Mark Sullivan is 1407056112. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Mark Sullivan located?

Mark Sullivan practices at 54951 Mound Rd, Shelby Township, MI 48316. The listed phone number is (586) 797-9118.

What is Mark Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Sullivan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Mark Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Sullivan was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.