NPI 1972848919

Jeanne F Sullivan, RDH

Practitioner Dental Hygienist Fairhaven, MA

Practice location

Address: 97 Church St, Fairhaven, MA 02719-3723
Phone: (508) 951-6403

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH10483 (MA)

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Registry record

NPI: 1972848919
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2012
Record last updated: 3 Dec 2012

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.