DEBORAH C. SULLIVAN


Address: 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063
Phone: 8174737171

DEBORAH C. SULLIVAN (NPI# 1972649143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972649143
Entity Type Individual
Full Name DEBORAH C. SULLIVAN
Credential D.D.S.
Practice Address 1200 U.S. Hwy 287 North
Suite 102
Mansfield
TX 76063
Mailing Address 1200 U.S. Hwy 287
Suite 102
Mansfield
TX 76063
Practice Telephone 8174737171
Practice Fax Number 8174732594
Mailing Telephone 8174737171
Mailing Fax Number 8174732594
Enumeration Date 2007-01-29
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
19246 TX Dental Providers

Other Providers DEBORAH SULLIVAN

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1568950152 Deborah Hall Sullivan Registered Nurse 1000 Sanger Ave, Oceanport, NJ 07757-1241 2018-04-29
1275968927 Deborah Mae Sullivan Case Manager/Care Coordinator 190 Mossy Oak Cir, North Augusta, SC 29841-3093 2013-09-12
1639419633 Deborah Sullivan Speech-Language Pathologist 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 2013-02-27
1487643201 Deborah Ann Sullivan Genetic Counselor, MS 182 Colon Ave, Staten Island, NY 10308-1405 2005-10-14
1023018900 Deborah A Sullivan Nurse Practitioner 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 2005-07-21
1730720327 Deborah Sheryl Sullivan Psychologist 1384 Kempsville Rd, Norfolk, VA 23502-2299 2019-10-04
1699236224 Deborah Katherine Sullivan Counselor 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 2019-03-27
1164816716 Deborah Sullivan Nurse Practitioner 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 2015-03-22
1053740142 Deborah Sullivan Speech-Language Pathologist 415 6th St, Lewiston, ID 83501-2431 2013-11-08
1356619258 Deborah Canfield Sullivan Speech-Language Pathologist 485 N Clinton Ave, Rochester, NY 14605-1817 2011-12-06

Office Location

Street Address 1200 U.S. HWY 287 NORTH
SUITE 102
City MANSFIELD
State TX
Zip Code 76063

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
Find all providers in zip 76063

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679014567 Corey Menou Dentist 1830 E Broad St Ste 104, Mansfield, TX 76063-9161 2017-03-13
1518353184 Elias E Chahine Dentist 1756 Broad Park Cir S #100, Mansfield, TX 76063 2015-04-10
1508133224 Pediatric Dentristry of Mansfield,pllc Dentist 1830 E Broad St, Ste104, Mansfield, TX 76063-9162 2011-11-23
1396901922 Daniel E Wright Dentist 1830 E. Broad St., Suite 104, Mansfield, TX 76063-2874 2008-08-04
1811106909 Heather Ann Gregg Dentist 245 Sterkle Blvd, Suite 101, Mansfield, OH 44907 2007-05-22
1699853051 Timothy J Iten Dentist 1 Marion Ave Ste 201, Mansfield, OH 44903-7905 2006-11-02
1487740114 Jackson Cockley Dentist 1145 Aspira Ct, Mansfield, OH 44906-4125 2006-10-04
1356328041 Randolph W Hamilton IIi Dentist 1759 Broad Park Cir S, Mansfield, TX 76063 2005-12-23
1285921825 Blane Reynolds Hamilton Dentist 1759 Broad Park Cir S, Ste 205, Mansfield, TX 76063-7833 2011-07-04
1669779328 Hyde,bailey,miller-south Partnership Dentist 2300 Matlock Rd, Suite 28, Mansfield, TX 76063-5019 2011-02-16
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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