IndividualActive
Mark Sullivan, DDS
NPI 1407056112 · General Practice Dentistry · Shelby Township, MI
Mark Sullivan, DDS is a General Practice Dentistry provider in Shelby Township, MI (NPI 1407056112).
Provider details
- NPI number
- 1407056112
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12343 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
54951 Mound Rd
Shelby Township, MI 48316-6028
Phone: (586) 797-9118
Fax: (586) 797-9085
Street-level locationGet directions
Mailing address
55191 Shelby Rd
Shelby Township, MI 48316-1150
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2016-05-25
Frequently asked questions
- What is Mark Sullivan's NPI number?
- Mark Sullivan's National Provider Identifier (NPI) is 1407056112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Sullivan's specialty?
- Mark Sullivan is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Sullivan located?
- Mark Sullivan's practice location on file with NPPES is 54951 Mound Rd, Shelby Township, MI 48316-6028.
- What is Mark Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Mark Sullivan is (586) 797-9118.
- Is Mark Sullivan's NPI active?
- Yes — Mark Sullivan's NPI (1407056112) is active in the NPPES registry as of the last update on 2016-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.