DR. JOHN SULLIVAN (NPI# 1205104627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205104627 |
| Entity Type | Individual |
| Full Name | DR. JOHN SULLIVAN |
| Credential | D.D.S. |
| Practice Address |
548 S Marine Corps Dr Tamuning GU 96913-3539 |
| Mailing Address |
Po Box 6578 Tamuning GU 96931-6578 |
| Practice Telephone | 6716465824 |
| Practice Fax Number | 6716473556 |
| Mailing Telephone | 6716466956 |
| Mailing Fax Number | 6716473556 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D930 | GU | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789027 | John Sullivan | Counselor | 1104 Cavalier Dr, Waukesha, WI 53186-6883 | 2020-07-31 |
| 1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
| 1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
| 1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
| 1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
| 1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
| 1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
| Street Address |
548 S MARINE CORPS DR |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447280680 | Angelito G Santos | Emergency Medicine | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2006-07-04 |
| 1932718665 | Ave Ocampo Golez | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-07-29 |
| 1336779784 | Ariel Sumbo | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1487284915 | Gerren Christopher Gabriel | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1275163883 | Gemma Paguio | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-23 |
| 1124658711 | Temple Grace Sarzaba Decena | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1073143665 | Celeste Ulanday Punzalan-almira | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1508496118 | Marilyn Zamora Magbitang | Licensed Practical Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1376173989 | Allen Paule Rara | Physical Therapist | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-22 |
| 1023648896 | Norhea Cando | Registered Nurse | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| 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 |
|---|---|---|---|---|
| 1336630672 | William Clayton Hightower II | Dentist | 384 Governor Carlos Camacho Road, Tamuning, GU 96913-1249 | 2018-05-22 |
| 1033371885 | David K. Marutani | Dentist | 590 S Marine Corps Dr Ste 104, Tamuning, GU 96913-3555 | 2008-07-01 |
| 1376705129 | Yasunori Takenaka | Dentist | 590 S. Marine Corps Dr. Suite 104, Itc Bldg, Tamuning, GUAM 96913 | 2008-07-01 |
| 1174785927 | Victoria N. Cheng | Dentist | 590 S. Marine Corps Dr. Suite 104, Itc Bldg., Tamuning, GUAM 96913 | 2008-07-01 |
| 1144415183 | Gentle Care Dental Associates PC | Dentist | 278 South Marine Corp Drive, Hengi Plaza Suite 102, Tamuning, GU 96931 | 2007-09-12 |
| 1598890741 | Robert Jae Yang | Dentist | 744 N Marine Dr, Ste 107, Tamuning, GU 96913-4426 | 2007-02-21 |
| 1356483259 | Thomas K Lee | Dentist | 761 S Marine Corps Dr, Suite A2, Tamuning, GU 96913-3523 | 2007-02-14 |
| 1538152178 | Paul Sablan Sauget | Dentist | 643 Chalan San Antonio Ste 104, Tamuning, GU 96913-3644 | 2005-08-30 |
| 1427475300 | Collette Elke Supit | Dentist | 415 Chalan San Antonio, Suite 108, Tamuning, GU 96913-3620 | 2014-03-27 |
| 1245508670 | David Bero | Dentist | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2011-12-13 |
| Find all providers in TAMUNING | ||||
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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.