BRETT SULLIVAN, D.M.D., M.D.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1629268966

Practice Address

11211 SE SUNNYSIDE RD
Clackamas, OR 97015

Phone: (503) 652-8080

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes D9737 (OR)
Dentist 122300000X No 2007019263 (MO)

Frequently Asked Questions

NPI 1629268966 is the National Provider Identifier for BRETT SULLIVAN, D.M.D., M.D., a Dentist - Oral and Maxillofacial Surgery provider located in Clackamas, OR. This NPI was enumerated on August 1, 2007.
BRETT SULLIVAN, D.M.D., M.D. practices at 11211 SE SUNNYSIDE RD, Clackamas, OR 97015.

Quick Facts

NPI
1629268966
Type
Individual
Enumerated
Aug 1, 2007
Last Updated
Dec 6, 2024

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