SULLIVAN DENTAL PARTNERSHIP LLC NPI 1558666768

NPI Information

NPI: 1558666768
Provider Name: SULLIVAN DENTAL PARTNERSHIP LLC

Other Name: BARRY D BRACE DMD & ASSOCIATES

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
300 WALMART DR
SULLIVAN, MO
ZIP 63080
Phone: (573) 860-2552
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SULLIVAN DENTAL PARTNERSHIP LLC is a customized equipment durable medical equipment medical supplies in Sullivan, MO. SULLIVAN DENTAL PARTNERSHIP LLC NPI is 1558666768. The provider is registered as an organization entity type.
The provider Other Name Is Barry D Brace Dmd & Associates.

The provider's business location address is:

300 WALMART DR
SULLIVAN, MO
ZIP 63080-333
Phone: (573) 860-2552
Fax: (573) 860-4553

The provider's authorized official is Barry D Brace .
The authorized official title is President and has the following contact phone number (573) 860-2552.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 1/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	12409	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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