DR. ROBERT WHALEN SULLIVAN (NPI# 1528228871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528228871 |
Entity Type | Individual |
Full Name | DR. ROBERT WHALEN SULLIVAN |
Credential | DDS |
Practice Address |
4 Coconut Drive Commack NY 11725-1212 |
Practice Telephone | 6313686393 |
Mailing Telephone | 6313686393 |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
22542 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972131027 | Robert Sullivan | Nurse Practitioner | 8821 Mallory Ct, Waxahachie, TX 75167-6007 | 2020-04-01 |
1043799844 | Robert D. Sullivan | Optometrist | 2185 South Mason Rd, Town & Country, MO 63131-1640 | 2018-08-13 |
1346602786 | Robert Sullivan | Non-emergency Medical Transport (VAN) | 30 Belmont Rd, Hernando, MS 38632-7601 | 2016-03-24 |
1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
1235266115 | Robert L Sullivan | Anesthesiology | 1486 Bay Rd, Stoughton, MA 02072-3801 | 2007-02-27 |
1679609911 | Robert Dennis Sullivan | Counselor | 102 Carlanna Lake Road, Ketchikan, AK 99901 | 2007-02-23 |
1609931781 | Robert Emmett Sullivan | Family Medicine | 115 N Central Avenue, Adairsville, GA 30103-2467 | 2006-12-27 |
1598823049 | Robert Sullivan | Psychiatry & Neurology | 3900 Eubank Boulevard Ne, Suite 9a, Albuquerque, NM 87111-3465 | 2006-12-05 |
1275605941 | Robert Sullivan | Dentist | 131 Maple Row Blvd Ste D402, Hendersonville, TN 37075-3777 | 2006-11-15 |
Street Address |
4 COCONUT DRIVE |
City | COMMACK |
State | NY |
Zip Code | 11725-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
Find all providers in zip 11725 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912138603 | Jeffrey Stuart Blye | Dentist | 29 Hamlet Dr, Commack, NY 11725-4435 | 2009-07-29 |
1952543522 | Donald A. Mancini | Dentist | 149 Commack Rd, Commack, NY 11725-3459 | 2009-03-29 |
1265689962 | Paul M. Brandoff | Dentist | 6080 Jericho Turnpike, Suite 207, Commack, NY 11725-2808 | 2008-08-25 |
1982807244 | Govind Bapat | Dentist | 6180 Jericho Tpke, Commack, NY 11725-2813 | 2007-06-06 |
1265640494 | John Anthony Loreto | Dentist | 6090 Jericho Tpke, Commack, NY 11725-2861 | 2007-05-20 |
1073729380 | The Wisdom Tooth of Commack | Dentist | 6040 Jericho Tpke, Commack, NY 11725-2806 | 2007-05-15 |
1285776492 | Eda Marie Maiello-pensiero | Dentist | 334 Burr Rd, Commack, NY 11725-1935 | 2007-02-13 |
1518043330 | Jeffrey Wolf Kimmel | Dentist | 102 Irene Lane, Commack, NY 11725-3934 | 2006-10-27 |
1780778282 | Robert Alan Poch | Dentist | 2171 Jericho Turnpike, Commack, NY 11725 | 2006-10-02 |
1669026142 | Michael Thomas Grassa | Dentist | 646 Commack Rd, Commack, NY 11725-5426 | 2019-08-01 |
Find all providers in COMMACK |
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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.