Sullivan, Daniel T

Sullivan, Daniel T is an individual health care provider with primary practice located at 4655 Hoen Ave Suite #6, Santa Rosa CA 95405-7830. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sullivan, Daniel T can be contacted via phone (707) 545-5260.

Contact Information

Primary practice address
4655 Hoen Ave Suite #6 Santa Rosa CA 95405-7830
Phone: (707) 545-5260
Fax: (707) 545-5077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 39928 California

Profile Details

NPI number 1588703631
LBN Legal business name Sullivan, Daniel T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers