DR. ROBERT WHALEN SULLIVAN


Address: 4 Coconut Drive, Commack, NY 11725-1212
Phone: 6313686393

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22542 NY Dental Providers

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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
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Office Location

Street Address 4 COCONUT DRIVE
City COMMACK
State NY
Zip Code 11725-1212

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City COMMACK
Zip Code 11725

Improve Information

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Dataset Information

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.

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