MR. ROGER BARRETT SULLIVAN DDS NPI 1669600425

NPI Information

  • NPI: 1669600425
  • Provider Name: MR. ROGER BARRETT SULLIVAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 449 N GRAND ST
    SCHOOLCRAFT, MI
    ZIP 49087
  • Phone: (269) 679-5285

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NPI Details

MR. Roger Barrett Sullivan, DDS is a general practice dentist in Schoolcraft, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Roger Barrett Sullivan, DDS NPI is 1669600425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

449 N GRAND ST
SCHOOLCRAFT, MI
ZIP 49087-141
Phone: (269) 679-5285

The enumeration date for this NPI number is 6/30/2009 and was last updated on 6/30/2009.

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
11223G0001XDentistGeneral Practice13518MICHIGANYes

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: 11/21/2025

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