Scott Louis Sullivan in Santa Rosa - General Practice
Scott Louis Sullivan - NPI 1063612844
Scott Louis Sullivan is a General Practice in Santa Rosa, California. Scott Louis Sullivan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Scott Louis Sullivan is 1063612844. The last update date is 2007-07-20.
Scott Louis Sullivan's current location address is 76 Doctors Park Dr., Santa Rosa, California. You can contact this provider via phone number 7075466367 and fax number 7075427829. The mailing address for Scott Louis Sullivan is 76 Doctors Park Dr., Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Louis Sullivan |
|---|---|
| Address | 76 Doctors Park Dr., Santa Rosa, California |
| Phone Number | 7075466367 |
| Fax Number | 7075427829 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063612844 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 76 Doctors Park Dr. |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95405 |
| Phone Number | 7075466367 |
| Fax Number | 7075427829 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 44095 |
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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. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Scott Louis Sullivan?
The Scott Louis Sullivan has been issued the NPI (National Provider Identifier) 1063612844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Scott Louis Sullivan?
The Scott Louis Sullivan is physically situated at 76 Doctors Park Dr., in the city of Santa Rosa, state of CA, with the postal code 95405.
What is the Scott Louis Sullivan's specialty and taxonomy code?
The Scott Louis Sullivan's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063612844 to Scott Louis Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1063612844 to Scott Louis Sullivan on 2007-07-20.
When was the information regarding Scott Louis Sullivan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scott Louis Sullivan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-20.