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MARK R SULLIVAN DDS
NPI 1851461347
Dentist - General Practice in Shelby Twp, MI

Active since November 09, 2006
54951 MOUND ROAD, SHELBY TWP, MI 48316(586) 797-9118(586) 797-9085 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark R Sullivan Dds NPPES

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

MARK R SULLIVAN DDS (NPI 1851461347) is a healthcare organization registered as a general practice in Shelby Twp, Michigan and active in the NPI registry since November 2006. The organization lists Mark Sullivan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1851461347
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK R SULLIVAN DDS
Location Address54951 MOUND ROADShelby Twp, MI 48316-6028
Mailing Address54951 Mound RoadShelby Twp, MI 48316-6028 · (586) 797-9118 · Fax (586) 797-9085
Phone(586) 797-9118
Fax(586) 797-9085
Organization SubpartNo
Authorized OfficialMark SullivanDentist · (586) 797-9118
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 17, 2007
✔ NPI 1851461347 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 ROAD, Shelby Twp, MI 48316
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Other Identifiers 1

Medicaid4062594MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 R Sullivan Dds's NPI number?

The NPI number for Mark R Sullivan Dds is 1851461347. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Mark R Sullivan Dds located?

Mark R Sullivan Dds is located at 54951 Mound Road, Shelby Twp, MI 48316. The listed phone number is (586) 797-9118.

What is Mark R Sullivan Dds'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 Mark R Sullivan Dds was last updated on July 17, 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.