Whalio Doctors

NPI 1457647083

Michael Patrick Sullivan, DDS

Practitioner Dentist Geneva, NE

Practice location

Address
1008 G Sreet, Geneva, NE 68361
Phone
(402) 759-4288
Fax
(402) 759-4470

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 6938 (NE)

Registry record

NPI
1457647083
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2011
Record last updated
22 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.