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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT R SULLIVAN, DDS, MD

Active

SCOTT R SULLIVAN, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in SPRINGFIELD, Missouri. NPI 1972134567 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SPRINGFIELD, MO

Registration Details

NPI Number
1972134567
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2020 (6.4897423156445 yrs)
Last Updated
Feb 18, 2026
License
2025018574 (MO)

Practice Information

Address
1103 E MONTCLAIR ST
SPRINGFIELD, MO, 658075076
Browse MO providers · Browse ZIP 65807
Phone
3166168157
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in SPRINGFIELD, MO

Name Credential NPI
DR. JAMES DAVID GIPSON DDS MD 1417942426
DR. GEORGE E ARQUITT III DDS, MD 1720073703
DR. THOMAS A COLLINS JR. DDS 1831184423
DR. STEVEN P QUINN DDS 1144215740
FRANK ANTHONY CORNELLA DDS, MD 1356322838
JULIE BECKER DDS 1124096912
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.