Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE SULLIVAN, DMD
Active Sole ProprietorKYLE SULLIVAN, DMD is a General Dentistry healthcare provider located in WALLA WALLA, Washington. NPI 1962558106 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WALLA WALLA, WA
Registration Details
- NPI Number
- 1962558106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2007 (19.559106725446 yrs)
- Last Updated
- Apr 6, 2011
- Licenses
-
5366921-9922 (UT)DE60083262 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 W POPLAR STSTE AWALLA WALLA, WA, 993622871Browse WA providers · Browse ZIP 99362
- Phone
- 5095253522
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES CHRISTOPHER PARRISH | D.D.S. | 1215935242 |
| RANDOLPH C PEARSON | D.D.S. | 1336122852 |
| DR. RICHARD ALLEN BUCK | D.M.D. | 1316922164 |
| DR. WILLIAM RAY MUSICK | D.D.S. | 1881612604 |
| NANNETTE D GOYER | — | 1811918154 |
| DANIS LYLE LAIZURE | DMD,FAGD | 1225051907 |
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.