SCOTT R SULLIVAN

SPRINGFIELD, MO
NPI1972134567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO  2025018574)
Enumeration Date2020-02-01
Last Update Date2026-02-18
Business Address
SCOTT R SULLIVAN DDS, MD
1103 E MONTCLAIR ST
SPRINGFIELD, MO 65807-5076
Phone number: 316-616-8157
Mailing Address
SCOTT R SULLIVAN DDS, MD
4649 COLE AVE APT 116
DALLAS, TX 75205-4043
Phone number: 316-616-8157
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