MS. MAENELL SULLIVAN DENTURIST DPD
NPI 1679675367
Denturist in Tenino, WA

Q: What is Maenell Sullivan's NPI number?

The NPI number for Maenell Sullivan is 1679675367. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Maenell Sullivan's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

Q: When was this NPI record last updated?

The NPPES record for Maenell Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 02, 2006

296 SUSSEX AVE W, TENINO, WA 98589(360) 264-5500(360) 264-5500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Maenell Sullivan Denturist Dpd NPPES

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

MS. MAENELL SULLIVAN DENTURIST DPD (NPI 1679675367) is an individual denturist in Tenino, Washington, licensed in Washington (DN361) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1679675367

Entity TypeIndividualFemale

Primary Taxonomy122400000X

Provider Legal NameMS. MAENELL SULLIVANCredential: DENTURIST DPD

Location Address296 SUSSEX AVE WTenino, WA 98589

Mailing AddressPo Box 1051Tenino, WA 98589 · (360) 264-5500 · Fax (360) 264-5500

Phone(360) 264-5500

Fax(360) 264-5500

Sole ProprietorNo

Enumeration DateSeptember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679675367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers

Taxonomy Code122400000X

License✔ Licensed in WA · DN361

Definition

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

296 SUSSEX AVE W, Tenino, WA 98589

Open in Google Maps ↗

Other Identifiers 1

Other5045273WA · Dshs

Other Providers at the Same Location NPPES

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

TENINO DENTURE CENTER, LLC

Denturist

296 SUSSEX AVE W
TENINO, WA 98589

Thurston County (360) 264-5500

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 Maenell Sullivan's NPI number?

The NPI number for Maenell Sullivan is 1679675367. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Maenell Sullivan located?

Maenell Sullivan practices at 296 Sussex Ave W, Tenino, WA 98589. The listed phone number is (360) 264-5500.

What is Maenell Sullivan's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Maenell Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.