Brett Michael Sullivan, DMD, MD
Brett Michael Sullivan, DMD, MD is an Oral and Maxillofacial Surgery (Dentist) in Clackamas, Oregon. Practices as a sole proprietor. Licensed in Missouri and Oregon.
- Licensed in
- MO, OR
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
11211 SE Sunnyside RdClackamas, OR 97015-7787
Phone: (503) 652-8080
Fax: (503) 526-8992
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D9737 (OR) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 2007019263 (MO) |
Record details
| NPI number | 1629268966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MD |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2007 |
| Last updated in NPPES | December 6, 2024 |
| Certification date | December 6, 2024 |
| Mailing address | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 |
Other providers in Clackamas
-
Dr. Kelly Ann Dezura, DMD
10181 SE Sunnyside Rd Otolaryngology (ent), Clackamas, OR 97015 · (510) 571-4727
-
Dr. John L Krump, DDS
9775 SE Sunnyside Rd Ste 600, Clackamas, OR 97015-5739 · (503) 652-8080