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

Mrs. Maureen O'Sullivan, ADT

Individual provider Dental Hygienist · NPI 1619435682

Mrs. Maureen O'Sullivan, ADT is a Dental Hygienist in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

385 S Owasso Blvd W
Roseville, MN 55113-2119
Phone: (612) 801-5203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Dental Therapist (primary) Taxonomy 125K00000X · Licence DT83 (MN)
Dental Hygienist Taxonomy 124Q00000X · Licence H9759 (MN)

Record details

NPI number1619435682
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADT
Sole proprietorYes
NPI enumeratedMarch 7, 2019
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

Other providers in Roseville