DR. WILLIAM KEVIN SULLIVAN (NPI# 1659375384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659375384 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM KEVIN SULLIVAN |
| Credential | DMD |
| Practice Address |
100 Mcgregor St E-542 Manchester NH 03102-3730 |
| Practice Telephone | 6036636226 |
| Practice Fax Number | 6036637800 |
| Mailing Telephone | 6036636226 |
| Mailing Fax Number | 6036637800 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3221 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30301692 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047359 | William M Sullivan Jr. | Counselor | 880 Central St Ste 10, Franklin, NH 03235-2040 | 2017-11-28 |
| 1669809331 | William Sullivan | Counselor | 18 Ascot Ct, Blythewood, SC 29016-9086 | 2013-09-26 |
| 1265729354 | William Eugene Sullivan | Optometrist | 6511 Sully Lane Pr, West Richland, WA 99353-8002 | 2011-07-09 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1093805897 | William J Sullivan | Internal Medicine | 608 Willard, Frontenac, KS 66763-2120 | 2006-10-13 |
| 1902911027 | William P. Sullivan | Emergency Medicine | 21200 S La Grange Rd # 365, Frankfort, IL 60423-2003 | 2006-08-20 |
| 1710911177 | William Larry Sullivan | Emergency Medicine | 4308 Topaz Cir Se, Decatur, AL 35603-5236 | 2006-07-10 |
| 1588614630 | William Walter Sullivan | Dentist | 6810 Post Rd, North Kingstown, RI 02852 | 2006-05-11 |
| 1285625541 | William Michael Sullivan | Specialist/Technologist | 3114 Hillary Ct, Joliet, IL 60435-9040 | 2005-11-04 |
| Street Address |
100 MCGREGOR ST E-542 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| 1215573498 | Christina Teresa Holub | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3730 | 2019-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| 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 |
|---|---|---|---|---|
| 1588051239 | Bryan Watanabe Dds Manchester Dental Group, PC | Dentist | 1001 Brittany Parkway Dr, Manchester, MO 63011-4325 | 2015-04-21 |
| 1083006431 | Dr. Dental of Manchester, PC | Dentist | 240 Spencer St, Manchester, CT 06040-4618 | 2015-02-23 |
| 1508266750 | Michael Christian | Dentist | 168 Spencer St, Manchester Smiles, Manchester, CT 06040-4616 | 2014-08-25 |
| 1821438367 | Charlie Dallas Manning Iv | Dentist | 1056 Mcarthur St, Manchester, TN 37355-2454 | 2013-06-28 |
| 1043563182 | Nagamani Ambatipudi | Dentist | 483 Middle Turnpike W, Suite 309, Manchester, CT 06040 | 2012-10-25 |
| 1790047330 | John Michael Taylor | Dentist | 6004 Mcminnville Hwy, Manchester, TN 37355-3814 | 2012-06-11 |
| 1598078529 | Jayde Ismae Nadia Moxey | Dentist | 1131 Tolland Tpke, Manchester, CT 06042-1679 | 2010-07-19 |
| 1053563999 | Michael Raymond Hamel | Dentist | 321 Lincoln St., Suite 203, Manchester, NH 03103 | 2008-10-22 |
| 1487837449 | Michelle Knisley Ayres | Dentist | 130 Wayne Frye Dr, Manchester, OH 45144-9314 | 2007-12-13 |
| 1235323684 | Sherif K Bishara | Dentist | 26 West Webster Street, Manchester, NH 03104-2912 | 2007-08-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
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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.