Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Robert Sullivan, DDS

Individual provider General Practice Dentistry · NPI 1407056112

Dr. Mark Robert Sullivan, DDS is a General Practice Dentistry in Shelby Township, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

54951 Mound Rd
Shelby Township, MI 48316-6028
Phone: (586) 797-9118
Fax: (586) 797-9085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12343 (MI)

Record details

NPI number1407056112
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 20, 2007
Last updated in NPPESMay 25, 2016

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