Daniel T Sullivan is a Dentist in Santa Rosa, California. Daniel T Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daniel T Sullivan is 1588703631. The last update date is 2007-07-08.
Daniel T Sullivan's current location address is 4655 Hoen Ave, Santa Rosa, California. You can contact this provider via phone number 7075455260 and fax number 7075455077. The mailing address for Daniel T Sullivan is 4655 Hoen Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel T Sullivan |
|---|---|
| Address | 4655 Hoen Ave, Santa Rosa, California |
| Phone Number | 7075455260 |
| Fax Number | 7075455077 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588703631 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4655 Hoen Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954057830 |
| Phone Number | 7075455260 |
| Fax Number | 7075455077 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39928 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Daniel T Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Daniel T Sullivan has been assigned the NPI (National Provider Identifier) 1588703631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Daniel T Sullivan is located?
The Daniel T Sullivan is situated at the following address: 4655 Hoen Ave, Santa Rosa, CA, 954057830.
What is the Daniel T Sullivan's area of specialization and corresponding taxonomy classification?
The Daniel T Sullivan's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Daniel T Sullivan receive the assignment of its 1588703631 from the Centers for Medicare & Medicaid Services?
The Daniel T Sullivan was issued its 1588703631 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the Daniel T Sullivan's details last updated?
The information pertaining to the Daniel T Sullivan, including its address, specialty, and other details, was most recently updated on 2007-07-08.