DR. MARY LINDA SULLIVAN DMD NPI 1508945692

NPI Information

NPI: 1508945692
Provider Name: DR. MARY LINDA SULLIVAN, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
1106 HACKBERRY LN
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 758-8872
Get Directions

DR. Mary Linda Sullivan, DMD is a periodontics dentist in Tuscaloosa, AL. 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. Mary Linda Sullivan, DMD NPI is 1508945692. 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:

1106 HACKBERRY LN
TUSCALOOSA, AL
ZIP 35401-115
Phone: (205) 758-8872
Fax: (205) 758-8272

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

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	4742	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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