MR. ROGER BARRETT SULLIVAN JR. DDS
NPI 1669600425
Dentist - General Practice in Schoolcraft, MI

Q: What is Roger Sullivan's NPI number?

The NPI number for Roger Sullivan is 1669600425. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Roger Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Sullivan was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 30, 2009

449 N GRAND ST, SCHOOLCRAFT, MI 49087(269) 679-5285 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Roger Barrett Sullivan Jr. Dds NPPES

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

MR. ROGER BARRETT SULLIVAN JR. DDS (NPI 1669600425) is an individual general practice provider in Schoolcraft, Michigan, licensed in Michigan (13518) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1669600425

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. ROGER BARRETT SULLIVAN JR.Credential: DDS

Location Address449 N GRAND STSchoolcraft, MI 49087-9141

Mailing AddressPo Box 237, 449 N. Grand StSchoolcraft, MI 49087-0237 · (269) 679-5285

Phone(269) 679-5285

Sole ProprietorYes

Enumeration DateJune 30, 2009

✔ NPI 1669600425 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 · 13518

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.

449 N GRAND ST, Schoolcraft, MI 49087

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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 Roger Sullivan's NPI number?

The NPI number for Roger Sullivan is 1669600425. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Roger Sullivan located?

Roger Sullivan practices at 449 N Grand St, Schoolcraft, MI 49087. The listed phone number is (269) 679-5285.

What is Roger Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Roger Sullivan was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.