IndividualActive
Daren Sullivan, DDS
NPI 1063649671 · General Practice Dentistry · Fargo, ND
Provider details
- NPI number
- 1063649671
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2056 (ND)
Specialties & taxonomies
Dental Providers
Practice location
1231 27th St S Ste C
Fargo, ND 58103-8722
Phone: (701) 232-6983
Fax: (701) 239-9375
Approximate (ZIP-level) locationGet directions
Mailing address
1231 27th St S Ste C
Fargo, ND 58103-8722
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2016-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.