Mark P. Sullivan, D.D.S., P.C.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022097-L Issued in PA

Legal business name

MARK P. SULLIVAN, D.D.S., P.C.L.L.C.

Practice address

1440 South Pottstown Pike
West Chester, PA 19380

Phone

(610) 436-4088

Fax

(610) 436-0679

NPI assigned

Oct 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark P. Sullivan, D.D.S.NPI 1710983432

Title

Owner

Phone

(610) 436-4088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark P. Sullivan, D.D.S.

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1710983432
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205926763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 SOUTH POTTSTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-436-4088",
            "fax_number": "610-436-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 SOUTH POTTSTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-436-4088",
            "fax_number": "610-436-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. SULLIVAN, D.D.S., P.C.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-436-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022097-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Marek, MD
• Marguerite B. Spina
• Theresa Marini-Kain
• Sharayne Mark Coffin, M.D.
• Mark E Beaugard MD Facs
• Charlotte Markey, MA, PHD, MSW
• Markkaa Inc
• Mollie Marko
• Tiffany Marie Marron
• Colleen Marshall

• General Practice Dentistry in West Chester, PA
• Providers in West Chester, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.