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

MS. Maenell Sullivan, DENTURISTDPD

Individual provider Denturist · NPI 1679675367

MS. Maenell Sullivan, DENTURISTDPD is a Denturist in Tenino, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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Practice location Address checks out

296 Sussex Ave W
Tenino, WA 98589
Phone: (360) 264-5500
Fax: (360) 264-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DN361 (WA)

Record details

NPI number1679675367
Entity typeIndividual (Type 1)
GenderFemale
Credentials DENTURISTDPD
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 8, 2007

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