SULLIVAN DENTAL PARTNERSHIP LLC (NPI# 1558666768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558666768 |
| Entity Type | Organization |
| Organization Name | SULLIVAN DENTAL PARTNERSHIP LLC |
| Other Organization Name | BARRY D BRACE DMD & ASSOCIATES |
| Practice Address |
300 Walmart Dr Sullivan MO 63080-3333 |
| Practice Telephone | 5738602552 |
| Practice Fax Number | 5738604553 |
| Mailing Telephone | 5738602552 |
| Mailing Fax Number | 5738604553 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | BARRY D BRACE (PRESIDENT) |
| Authorized Official Telephone | 5738602552 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
12409 | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| Barry D Brace DMD & Associates | Other Name - Individual/Organization |
| Street Address |
300 WALMART DR |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518228485 | Midwest Dental Jeff Moos Dds PC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2012-06-06 |
| 1275700817 | Sullivan Dental Partnership, LLC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721114 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 131 Progress Pkwy, Sullivan, MO 63080-2359 | 2015-01-30 |
| 1275513913 | Four Rivers Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 20 E Springfield Rd, Sullivan, MO 63080-1310 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759873 | Jonathan R Ehlers Dds PC | Durable Medical Equipment & Medical Supplies | 991 Winchester Dr Ste 1, Sedalia, MO 65301-2553 | 2020-01-09 |
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| 1558868703 | Sleep Better Missouri LLC | Durable Medical Equipment & Medical Supplies | 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804-6539 | 2018-04-12 |
| 1376082156 | Central States Medical Distributors LLC | Durable Medical Equipment & Medical Supplies | 9006 Ne 80th St, Kansas City, MO 64158-7604 | 2017-02-14 |
| 1710424148 | Billie Bleckler | Durable Medical Equipment & Medical Supplies | 11429 Panther Ridge Dr, Ste Genevieve, MO 63670-7173 | 2017-01-24 |
| 1942751086 | Cherry Hill Dental Associates Inc | Durable Medical Equipment & Medical Supplies | 923 S Country Club Dr, Jefferson City, MO 65109-0352 | 2016-10-24 |
| 1295183523 | Total Respiratory and Rehab, Inc. | Durable Medical Equipment & Medical Supplies | 2112 W Vista St, Springfield, MO 65807-5918 | 2016-05-26 |
| 1326460502 | Rita's Hearing Center and Repairs | Durable Medical Equipment & Medical Supplies | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2014-01-07 |
| 1215368360 | Mike Stuart Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1811 W Sunset St, Springfield, MO 65807-5901 | 2013-11-27 |
| 1649513870 | Mccob Styles | Durable Medical Equipment & Medical Supplies | 627 Nw Mock Ave Ste C, Blue Springs, MO 64014-2417 | 2013-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.