National Provider Identifier Database

ROBERT J OSULLIVAN, DDS – NPI #1295464220
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

ROBERT J OSULLIVAN, DDS
1000 GREG KRUSCHEK AVENUE
NOME, AK99762
Phone: 907-443-3311
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for ROBERT J OSULLIVAN

NPI Number 1295464220
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/06/2022
Last updated 08/03/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 019.033694
  • MT License #: DEN-DEN-LIC-23667
  • WI License #: 6001012-15
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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