TERENCE C SULLIVAN (NPI# 1801819974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801819974 |
| Entity Type | Individual |
| Full Name | TERENCE C SULLIVAN |
| Credential | DDS, MSD |
| Practice Address |
15224 Main St Suite 302 Mill Creek WA 98012-7316 |
| Practice Telephone | 4253852641 |
| Practice Fax Number | 4253852644 |
| Mailing Telephone | 4253852641 |
| Mailing Fax Number | 4253852644 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00006911 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093931057 | Terence Kevin Sullivan | Dentist | 206 Highland Park Plz, Covington, LA 70433-7129 | 2007-04-18 |
| 1609099274 | Terence Sullivan | Social Worker | 51 Summit Ave, Summit, NJ 07901-3613 | 2007-04-11 |
| 1073571584 | Terence P Sullivan | Internal Medicine | 200 S Michigan Ave, Ste 830, Chicago, IL 60604-2404 | 2006-05-03 |
| Street Address |
15224 MAIN ST SUITE 302 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146708 | Sandra Kartess | Massage Therapist | 15224 Main St, Mill Creek, WA 98012-7316 | 2018-09-04 |
| 1619324993 | Ashley Voag | Massage Therapist | 15224 Main St, Suite 103, Mill Creek, WA 98012-7316 | 2016-05-17 |
| 1821475690 | Cynthia Cox | Massage Therapist | 15224 Main St, 303, Mill Creek, WA 98012-7316 | 2015-04-30 |
| 1497157101 | Nouvelle Health | Naturopath | 15224 Main St, Suite 303, Mill Creek, WA 98012-7316 | 2014-09-24 |
| 1497953616 | Donald Kim | Dentist | 15224 Main St, Suite 301, Mill Creek, WA 98012-7316 | 2007-07-10 |
| 1295947448 | Sullivan Orthodontics Inc Ps | Dentist | 15224 Main St, Suite 302, Mill Creek, WA 98012-7332 | 2007-05-03 |
| 1932235561 | Justin Keith Mccormick | Chiropractor | 15224 Main St, Ste. 103, Mill Creek, WA 98012-7316 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1558834556 | Neal Eden Bastian | Dentist | 15224 Main St Ste 302, Mill Creek, WA 98012-7332 | 2019-01-03 |
| 1215365580 | John W Stieber Dds Ps | Dentist | 1025 153rd St Se Ste 102, Mill Creek, WA 98012-4051 | 2013-10-24 |
| 1770597197 | Anne-marie Bollen | Dentist | 805 164th St Se, Suite 205, Mill Creek, WA 98012-6316 | 2006-07-28 |
| 1235361031 | John W Stieber | Dentist | 1025 153rd St Se, Suite 102, Mill Creek, WA 98012-4051 | 2009-08-13 |
| 1295947448 | Sullivan Orthodontics Inc Ps | Dentist | 15224 Main St, Suite 302, Mill Creek, WA 98012-7332 | 2007-05-03 |
| 1720106529 | Nahal Darvish | Dentist | 3922 148th St Se, Nd Orthodontics Suite 203, Mill Creek, WA 98012 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| 1962981241 | Camas Orthodontics LLC Tod Hardin Sole Mbr | Dentist | 5420 Nw 38th Ave Ste 102, Camas, WA 98607-5403 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
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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.