DR. JENNIFER CHANG SULLIVAN D.D.S. MSD NPI 1356681654

NPI Information

NPI: 1356681654
Provider Name: DR. JENNIFER CHANG SULLIVAN, D.D.S., MSD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
35 BEDFORD ST STE 20
LEXINGTON, MA
ZIP 02420
Phone: (617) 468-8696
Get Directions

DR. Jennifer Chang Sullivan, D.D.S., MSD is a periodontics dentist in Lexington, MA. The provider is 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 structures and tissues. DR. Jennifer Chang Sullivan, D.D.S., MSD NPI is 1356681654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 BEDFORD ST STE 20
LEXINGTON, MA
ZIP 02420-440
Phone: (617) 468-8696

The enumeration date for this NPI number is 2/22/2013 and was last updated on 10/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	S125	MINNESOTA	No
2	1223P0300X	Dentist	Periodontics	26373	TEXAS	No
3	1223P0300X	Dentist	Periodontics	1859858	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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