DR. DANIEL T SULLIVAN (NPI# 1588703631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588703631 |
| Entity Type | Individual |
| Full Name | DR. DANIEL T SULLIVAN |
| Credential | DDS |
| Practice Address |
4655 Hoen Ave Suite #6 Santa Rosa CA 95405-7830 |
| Practice Telephone | 7075455260 |
| Practice Fax Number | 7075455077 |
| Mailing Telephone | 7075455260 |
| Mailing Fax Number | 7075455077 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39928 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897399 | Daniel Sullivan | Specialist/Technologist | 2810 Prestige Ct Apt 3, Eau Claire, WI 54703-6424 | 2018-07-09 |
| 1518478189 | Daniel David Sullivan | Physical Therapist | 70 Central Ave W, Edgewater, MD 21037-2622 | 2017-10-23 |
| 1508265976 | Daniel Sullivan | Social Worker | 1000 Fulton Ave, Hempstead, NY 11549 | 2014-08-21 |
| 1104169614 | Daniel Ward Sullivan | Counselor | 216 North King Street, Northampton, MA 01060 | 2013-04-03 |
| 1992042600 | Daniel Carl Sullivan | Radiology | 311 Research Dr, Durham, NC 27710-3023 | 2013-01-15 |
| 1215220629 | Daniel Sullivan | Physical Therapist | 350 S County Rd, Suite 107, Palm Beach, FL 33480-4481 | 2011-05-18 |
| 1548592785 | Daniel Joseph Sullivan | Massage Therapist | 144 Broadway Ste 2, Saranac Lake, NY 12983-1486 | 2010-02-12 |
| 1841464310 | Daniel Andrew Sullivan | Dentist | 11062 N Cedarburg Road, Mequon, WI 53092 | 2008-04-16 |
| 1164565263 | Daniel J. Sullivan | Physical Therapist | 34 Hennessey Avenue, Brunswick, ME 04011-0000 | 2007-02-15 |
| 1417099979 | Daniel Gerard Sullivan | Physical Therapist | 5530 Lipes, Suite 105, Corpus Christi, TX 78413-5511 | 2007-02-13 |
| Street Address |
4655 HOEN AVE SUITE #6 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376532986 | James Joseph Forni | Dentist | 4655 Hoen Ave, Santa Rosa, CA 95405-7800 | 2005-10-17 |
| 1730631268 | Mccully Atlas Spinal Care Chiropractic, P.C. | Chiropractor | 4655 Hoen Ave, Suite 8, Santa Rosa, CA 95405-7800 | 2016-11-01 |
| 1568783280 | Stephen Cyril Desalvo | Dentist | 4655 Hoen Ave, Suite #7, Santa Rosa, CA 95405-7800 | 2010-06-16 |
| 1467629386 | James Allen Abbott | Dentist | 4655 Hoen Ave, Suite 2, Santa Rosa, CA 95405-7800 | 2008-05-09 |
| 1962628651 | John Harold Tolin | Dentist | 4655 Hoen Ave, #8, Santa Rosa, CA 95405-7800 | 2007-04-18 |
| 1073665949 | Victor J. Costanza | Dentist | 4655 Hoen Ave, Santa Rosa, CA 95405-7800 | 2007-01-18 |
| 1487703328 | Craig Wilson | Dentist | 4655 Hoen Ave, Suite 3, Santa Rosa, CA 95405-7800 | 2007-01-09 |
| 1992885990 | Karen L Leung Women's Wellness and Gyn Surgery Center | Obstetrics & Gynecology | 4655 Hoen Ave, Suite 8, Santa Rosa, CA 95405-7800 | 2006-10-16 |
| 1346206463 | Karen Lin-yee Leung | Obstetrics & Gynecology | 4655 Hoen Ave, Suite 8, Santa Rosa, CA 95405-7800 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1487127486 | Evelyn Escobedo | Dentist | 2335 Summercreek Dr Apt 59, Santa Rosa, CA 95404-7761 | 2019-01-02 |
| 1053853242 | Stephanie Settimi Dds, Inc | Dentist | 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405-8570 | 2016-11-06 |
| 1720484835 | Sarah Gim | Dentist | 55 Mission Cir Ste 101, Santa Rosa, CA 95409-5372 | 2014-11-17 |
| 1477952182 | Stacey Diane Strong | Dentist | 95 Montgomery Address, Suite 106, Santa Rosa, CA 95404 | 2014-08-19 |
| 1225437254 | Sean Vreeburg | Dentist | 3599 Piner Rd, Santa Rosa, CA 95401-3916 | 2014-08-14 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1639510563 | Behnam Rostami | Dentist | 479 Stony Point Rd, Santa Rosa, CA 95401-5969 | 2013-07-08 |
| 1760821615 | Amanda Major | Dentist | 250 D St, Suite 200, Santa Rosa, CA 95404-4773 | 2013-06-24 |
| 1427398882 | Laura David Ellefson | Dentist | 1100 Sonoma Ave Ste A, Santa Rosa, CA 95405-8901 | 2013-02-22 |
| 1467798116 | Dental Corporation of Kelly A. Elward, Dds | Dentist | 1820 Sonoma Ave Ste 100, Santa Rosa, CA 95405-6617 | 2012-12-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.