Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mordena T Sullen, DMD

Individual provider Dentist · NPI 1699929737

Dr. Mordena T Sullen, DMD is a Dentist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1099 Martin Luther King Jr Dr
Atlanta, GA 30314
Phone: (404) 752-7777
Fax: (404) 752-6877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10426 (GA)

Record details

NPI number1699929737
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 14, 2008
Last updated in NPPESNovember 14, 2008

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