Mark R Sullivan DDS
Mark R Sullivan DDS is a healthcare organization registered as General Practice Dentistry in Shelby Twp, MI, holding Type 2 (organization) NPI 1851461347 since 2006. The authorized official on file is Mark Sullivan, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1851461347 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark R Sullivan DDS |
| Practice address | 54951 MOUND ROAD, Shelby Twp, MI, 48316 |
| Phone | 5867979118 |
| Fax | 5867979085 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2007-07-17 |
Authorized official
| Name | Mark Sullivan |
|---|---|
| Title | Dentist |
| Phone | 5867979118 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 12343 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4062594 | Medicaid | MI | — |
Copy-ready billing details
Provider: Mark R Sullivan DDS NPI: 1851461347 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 54951 MOUND ROAD, Shelby Twp, MI, 48316
Verify this record
Cross-check NPI 1851461347 against the authoritative CMS record: view Mark R Sullivan DDS on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Mark R Sullivan DDS located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-17.