DR. DANIEL ANDREW SULLIVAN (NPI# 1841464310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841464310 |
| Entity Type | Individual |
| Full Name | DR. DANIEL ANDREW SULLIVAN |
| Credential | DDS |
| Practice Address |
11062 N Cedarburg Road Mequon WI 53092 |
| Practice Telephone | 2622429009 |
| Practice Fax Number | 2625122995 |
| Mailing Telephone | 2622429009 |
| Mailing Fax Number | 2625122995 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4151 | WI | 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 |
| 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 |
| 1407905433 | Daniel J Sullivan | Pharmacist | 51 Goffstown Rd, Manchester, NH 03102-2746 | 2007-01-09 |
| Street Address |
11062 N CEDARBURG ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1093373623 | Taylor Leann Dumez | Dentist | 11501 N Port Washington Rd Ste 102, Mequon, WI 53092-3466 | 2019-05-29 |
| 1780190553 | Hypnos, Inc. | Dentist | 10610 N Port Washington Rd, Mequon, WI 53092-5013 | 2017-12-15 |
| 1295968634 | Douglas Richard Martin | Dentist | 1808 W Glen Oaks Ln, Mequon, WI 53092-2902 | 2009-09-02 |
| 1528264819 | Russell Theodore Kittleson | Dentist | 10521 N Port Washington Rd # 13w, Mequon, WI 53092-5584 | 2007-06-22 |
| 1356489603 | East Towne Dental Associated Belgium Family Dental Sc | Dentist | 11501 N Prot Washington Rd, Mequon, WI 53092 | 2007-02-01 |
| 1164574323 | Stephan William Klug | Dentist | 1017 W Glen Oaks Lane, Suite 211, Mequon, WI 53092 | 2007-01-17 |
| 1912096140 | Burton E Goodman | Dentist | 10016 N Kirkland Ct, Mequon, WI 53092-5444 | 2006-10-12 |
| 1356337356 | Dennis Walter Engel | Dentist | 7604 W Mequon Rd, Mequon, WI 53097-3215 | 2005-09-25 |
| 1225521545 | Amanda Lathe | Dentist | 11345 N Port Washington Rd, Mequon, WI 53092-3411 | 2018-06-11 |
| 1992244479 | Andrew Schuelke | Dentist | 11501 N Port Washington Rd, Mequon, WI 53092-3465 | 2017-02-17 |
| Find all providers in MEQUON | ||||
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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.