KENNETH SULLIVAN (NPI# 1689756272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689756272 |
| Entity Type | Individual |
| Full Name | KENNETH SULLIVAN |
| Credential | DMD |
| Practice Address |
2439 Bloomfield Rd Cape Girardeau MO 63703-6415 |
| Practice Telephone | 5733355199 |
| Mailing Telephone | 5733355199 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2006013084 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184840761 | Kenneth Edward Sullivan | Chiropractor | 2056 Dauphin St, Mobile, AL 36606-1929 | 2007-04-18 |
| 1932256302 | Kenneth P. Sullivan | Psychologist | 1104 Gleneagles Dr Sw # B, Huntsville, AL 35801-6404 | 2007-01-05 |
| 1740367598 | Kenneth James Sullivan | Dentist | 928 Arnold Ave, Point Pleasant Boro, NJ 08742-2305 | 2006-11-01 |
| 1376637215 | Kenneth W Sullivan | Family Medicine | 3511 Old Clarksville Pike, Joelton, TN 37080-8892 | 2006-10-03 |
| 1245345222 | Kenneth Sullivan | Psychologist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-20 |
| 1619929478 | Kenneth P Sullivan | Radiology | 1416c South Randall Road, Randall Square Shopping Center, Geneva, IL 60134-4682 | 2006-05-17 |
| 1902899917 | Kenneth Sullivan | Emergency Medicine | 225 Memorial Dr, Berlin, WI 54923-1243 | 2005-08-24 |
| Street Address |
2439 BLOOMFIELD RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306048954 | Sylvester Parker | Dentist | 2439 Bloomfield Rd, Cape Girardeau, MO 63703-6415 | 2007-06-05 |
| 1396883245 | Terry L. Brown, Dmd, P.C. | Dentist | 2439 Bloomfield Rd, Cape Girardeau, MO 63703-6415 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1073938189 | Fox Family Dental, L.L.C. | Dentist | 832 N. Kingshighway Street, Cape Girardeau, MO 63701 | 2014-02-26 |
| 1477824662 | Mbd Merger LLC | Dentist | 1736 Broadway, Cape Girardeau, MO 63701 | 2012-01-19 |
| 1831478734 | David Elimelech | Dentist | 2867 Walden Blvd Apt 206, Cape Girardeau, MO 63701-7433 | 2011-08-09 |
| 1902199011 | Kuan Cao | Dentist | 467 Windwood Lake Dr, Cape Girardeau, MO 63701-9587 | 2011-05-23 |
| 1326103367 | Jean-paul Arpin | Dentist | 1367 N Mt Auburn Rd, Cape Girardeau, MO 63701 | 2006-12-27 |
| 1639239783 | Diane Hall | Dentist | 1749 D Independence, Cape Girardeau, MO 63703-5919 | 2006-12-11 |
| 1457353740 | Robert G. Fox | Dentist | 832 N Kingshighway St, Cape Girardeau, MO 63701-4316 | 2005-06-01 |
| 1366845299 | Dennis Nguyen | Dentist | 2906 Breckenridge Dr, Cape Girardeau, MO 63701-1728 | 2014-10-06 |
| 1003177601 | Dominique Glennon Harter | Dentist | 2857 Independence St, Cape Girardeau, MO 63703-5015 | 2012-05-31 |
| 1669746624 | Alan David Jones | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2012-03-07 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on KENNETH SULLIVAN.
| 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.