Mary Linda Sullivan in Tuscaloosa - Periodontics
Mary Linda Sullivan - NPI 1508945692
Mary Linda Sullivan is a Periodontics in Tuscaloosa, Alabama. Mary Linda Sullivan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mary Linda Sullivan is 1508945692. The last update date is 2007-07-08.
Mary Linda Sullivan's current location address is 1106 Hackberry Ln, Tuscaloosa, Alabama. You can contact this provider via phone number 2057588872 and fax number 2057588272. The mailing address for Mary Linda Sullivan is 1106 Hackberry Ln, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Linda Sullivan |
|---|---|
| Address | 1106 Hackberry Ln, Tuscaloosa, Alabama |
| Phone Number | 2057588872 |
| Fax Number | 2057588272 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1508945692 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1106 Hackberry Ln |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354013115 |
| Phone Number | 2057588872 |
| Fax Number | 2057588272 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 4742 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Linda Sullivan by the Centers for Medicare & Medicaid Services?
The Mary Linda Sullivan has been assigned the NPI (National Provider Identifier) 1508945692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Linda Sullivan is physically located?
The Mary Linda Sullivan is physically situated at the following address: 1106 Hackberry Ln, Tuscaloosa, AL, 354013115.
What is Mary Linda Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Linda Sullivan is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Mary Linda Sullivan receive the assignment of its 1508945692 from the Centers for Medicare & Medicaid Services?
The Mary Linda Sullivan was issued its 1508945692 by the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date was the information pertaining to Mary Linda Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Linda Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX