KRISTEN NICOLE SULLIVAN


Address: 5675 N Front St, Suite 50, Philadelphia, PA 19120
Phone: 9208381649

KRISTEN NICOLE SULLIVAN (NPI# 1134414865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134414865
Entity Type Individual
Full Name KRISTEN NICOLE SULLIVAN
Credential DMD
Practice Address 5675 N Front St
Suite 50
Philadelphia
PA 19120
Mailing Address 430 W Erie St
Suite 200
Chicago
IL 60654-6914
Practice Telephone 9208381649
Mailing Telephone 9208381649
Enumeration Date 2011-06-10
Last Update Date 2011-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DS038712 PA Dental Providers

Other Providers KRISTEN SULLIVAN

NPI Name Taxonomy Address Enumeration
1427405323 Kristen Sullivan Counselor 36 Woburn St, Reading, MA 01867-2973 2016-05-20
1497003230 Kristen Sullivan Psychologist 200 S Wells Rd Ste 200, Ventura, CA 93004-1377 2012-08-28
1710255021 Kristen Rudick Sullivan Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2011-12-01
1194003293 Kristen D Sullivan Student in an Organized Health Care Education/Training Program 8001 Sw 36th St, Suite 9, Davie, FL 33328-1915 2011-07-25
1366675563 Kristen T Sullivan Registered Nurse 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2009-09-03
1891927836 Kristen Gallup Sullivan Occupational Therapist 100 N Mario Capecchi Dr, Inpatient Rehab, Salt Lake City, UT 84113-1103 2009-08-10
1265692990 Kristen Sullivan Counselor 190 Lenox St, Norwood, MA 02062-3416 2008-06-16
1174732580 Kristen Kelly Sullivan Physical Therapist 596 Sheldon Rd, Saint Albans, VT 05478-8011 2007-05-22
1679505887 Kristen D. Sullivan Audiologist 3 Allds St, Nashua, NH 03060-4711 2006-07-07

Office Location

Street Address 5675 N FRONT ST
SUITE 50
City PHILADELPHIA
State PA
Zip Code 19120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508843459 Janine M. Stoffey Social Worker 5675 N Front St, Philadelphia, PA 19120-2719 2005-12-30
1659984516 Hosanna Yoh Dentist 5675 N Front St, Philadelphia, PA 19120-2719 2020-08-28
1811506579 Jason K Robinson Dentist 5675 N Front St, Philadelphia, PA 19120-2719 2020-07-29
1699319244 Natalie Khalil Dentist 5675 N Front St, Philadelphia, PA 19120-2719 2019-11-06
1164065223 Jenish George Kizhakkemuriyil Dentist 5675 N Front St, Philadelphia, PA 19120-2719 2019-10-22
1013426089 Solange Aneuri Abreu Dentist 5675 N Front St, Philadelphia, PA 19120-2719 2017-09-21
1861931537 Sony Chau Pharmacist 5675 N Front St, Philadelphia, PA 19120-2719 2017-02-14
1205374691 Elise Wakeland Social Worker 5675 N Front St, Philadelphia, PA 19120-2719 2017-02-06
1023553393 Sumanya Narra Physician Assistant 5675 N Front St, Philadelphia, PA 19120-2719 2016-12-22
1609320860 Parisa Parsa Nurse Practitioner 5675 N Front St, Philadelphia, PA 19120-2719 2016-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902364615 Jane Clay Zakrzewski Social Worker Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 2019-03-12
1861964264 Yi Ty Zhang Nurse Practitioner 101 E Olney Ave Ste C5, Philadelphia, PA 19120 2018-12-23
1447799770 John Beecroft Counselor 4943 North 5th Street, Philadelphia, PA 19120 2017-02-20
1063869915 Syed Naved Zahid Dentist 5675 Nth Front St., Philadelphia, PA 19120 2016-05-20
1447619838 Danielle Green Nurse Practitioner 5846 North 4th St, Philadelphia, PA 19120 2016-02-15
1134544265 Nt&t Corporation Pharmacy 439 West Chew Ave 1st F, Philadelphia, PA 19120 2014-02-26
1417234667 Thomas Davis Behavioral Analyst 101 West Spencer Street, Philadelphia, PA 19120 2011-11-15
1619261682 Advanced Family Dentistry, P.C. Dentist 6100-02 5th Street, Storefront, Philadelphia, PA 19120 2011-06-07
1346539061 Capri N. Burt Prosthetist 5962 N. 3rd Street, Philadelphia, PA 19120 2011-04-04
1063719334 James A. Brown Prosthetist 5962 N. 3rd St., Phila, PA 19120 2011-02-22
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351318 Mostafa Alwakeel Dentist 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 2020-09-16
1811508922 Eleine Laffita Aguilera Dentist 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 2020-08-12
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1578172128 Selena Nguyen Dentist 4837 N Broad St, Philadelphia, PA 19141-2107 2020-07-29
1447869235 Artistic Smile LLC Dentist 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 2020-07-28
1619585270 Dentist Near Me Pllc Dentist 1603 South St, Philadelphia, PA 19146-1541 2020-07-20
1073121281 Olga Stepanchenko Dentist 1919 Bowler St, Philadelphia, PA 19115-3211 2020-07-14
1578101630 Maryam Khalili Dentist 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 2019-12-19
1952947152 Navy Yard Dental Associates, Pllc Dentist 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 2019-11-22
1518502632 Rujuta Shukla Dentist 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 2019-11-12
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Competitor

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City PHILADELPHIA
Zip Code 19120

Improve Information

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Dataset Information

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.

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