Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT LOUIS SULLIVAN, DDS
Active Sole ProprietorDR. SCOTT LOUIS SULLIVAN, DDS is a General Dentistry healthcare provider located in SANTA ROSA, California. NPI 1063612844 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SANTA ROSA, CA
Registration Details
- NPI Number
- 1063612844
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2007 (19.074948934558 yrs)
- Last Updated
- Jul 20, 2007
- License
-
44095 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
76 DOCTORS PARK DR.SANTA ROSA, CA, 954056615Browse CA providers · Browse ZIP 95405
- Phone
- 7075466367
- Fax
- 7075427829
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HARRY FRANCIS ALBERS | D.D.S. | 1659374643 |
| DR. JAMES JOSEPH FORNI | D.D.S. | 1376532986 |
| DR. DAVID GLENN HARRIS | D.D.S. | 1275523987 |
| DR. JEFFREY D. BEAN | D.D.S. | 1609866888 |
| DR. JEFFREY IAN PETERSEN | DMD | 1669454211 |
| DARIN JAMES SCHETTLER | D.D.S. | 1568445856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.