KRISTEN NICOLE SULLIVAN (NPI# 1134414865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134414865 |
| Entity Type | Individual |
| Full Name | KRISTEN NICOLE SULLIVAN |
| Credential | DMD |
| Practice Address |
5675 N Front St Suite 50 Philadelphia PA 19120 |
| Mailing Address |
430 W Erie St Suite 200 Chicago IL 60654-6914 |
| Practice Telephone | 9208381649 |
| Mailing Telephone | 9208381649 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS038712 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427405323 | Kristen Sullivan | Counselor | 36 Woburn St, Reading, MA 01867-2973 | 2016-05-20 |
| 1497003230 | Kristen Sullivan | Psychologist | 200 S Wells Rd Ste 200, Ventura, CA 93004-1377 | 2012-08-28 |
| 1710255021 | Kristen Rudick Sullivan | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-12-01 |
| 1194003293 | Kristen D Sullivan | Student in an Organized Health Care Education/Training Program | 8001 Sw 36th St, Suite 9, Davie, FL 33328-1915 | 2011-07-25 |
| 1366675563 | Kristen T Sullivan | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-09-03 |
| 1891927836 | Kristen Gallup Sullivan | Occupational Therapist | 100 N Mario Capecchi Dr, Inpatient Rehab, Salt Lake City, UT 84113-1103 | 2009-08-10 |
| 1265692990 | Kristen Sullivan | Counselor | 190 Lenox St, Norwood, MA 02062-3416 | 2008-06-16 |
| 1174732580 | Kristen Kelly Sullivan | Physical Therapist | 596 Sheldon Rd, Saint Albans, VT 05478-8011 | 2007-05-22 |
| 1679505887 | Kristen D. Sullivan | Audiologist | 3 Allds St, Nashua, NH 03060-4711 | 2006-07-07 |
| Street Address |
5675 N FRONT ST SUITE 50 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508843459 | Janine M. Stoffey | Social Worker | 5675 N Front St, Philadelphia, PA 19120-2719 | 2005-12-30 |
| 1659984516 | Hosanna Yoh | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2020-08-28 |
| 1811506579 | Jason K Robinson | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2020-07-29 |
| 1699319244 | Natalie Khalil | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2019-11-06 |
| 1164065223 | Jenish George Kizhakkemuriyil | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2019-10-22 |
| 1013426089 | Solange Aneuri Abreu | Dentist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-09-21 |
| 1861931537 | Sony Chau | Pharmacist | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-02-14 |
| 1205374691 | Elise Wakeland | Social Worker | 5675 N Front St, Philadelphia, PA 19120-2719 | 2017-02-06 |
| 1023553393 | Sumanya Narra | Physician Assistant | 5675 N Front St, Philadelphia, PA 19120-2719 | 2016-12-22 |
| 1609320860 | Parisa Parsa | Nurse Practitioner | 5675 N Front St, Philadelphia, PA 19120-2719 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| 1447869235 | Artistic Smile LLC | Dentist | 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 | 2020-07-28 |
| 1619585270 | Dentist Near Me Pllc | Dentist | 1603 South St, Philadelphia, PA 19146-1541 | 2020-07-20 |
| 1073121281 | Olga Stepanchenko | Dentist | 1919 Bowler St, Philadelphia, PA 19115-3211 | 2020-07-14 |
| 1578101630 | Maryam Khalili | Dentist | 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 | 2019-12-19 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| 1518502632 | Rujuta Shukla | Dentist | 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 | 2019-11-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
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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.