IndividualActive
Maureen O'Sullivan, ADT
NPI 1619435682 · Advanced Practice Dental Therapist · Roseville, MN
Provider details
- NPI number
- 1619435682
- Entity type
- Individual
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Credential
- ADT
- Sex
- Female
- Sole proprietor
- Yes
- License
- H9759 (MN)
Mailing address
385 S Owasso Blvd W
Roseville, MN 55113-2119
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.