Sullivan Dental Partnership LLC
Sullivan Dental Partnership LLC provides Customized Equipment (DME) in Sullivan, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
300 Walmart DrSullivan, MO 63080-3333 Not confirmed with CMS for 15 years — call before visiting
Phone: (573) 860-2552
Fax: (573) 860-4553
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 12409 (MO) |
|---|
Record details
| NPI number | 1558666768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barry Brace — President · (573) 860-2552 |
| Other names | Barry D Brace Dmd & Associates |
| NPI enumerated | January 19, 2011 |
| Last updated in NPPES | January 19, 2011 |
| Mailing address | 300 Walmart Dr, Sullivan, MO 63080-3333 |