DR. DANIEL PETER SULLIVAN (NPI# 1649376468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649376468 |
| Entity Type | Individual |
| Full Name | DR. DANIEL PETER SULLIVAN |
| Other Name | DR. DANIEL PETER SULLIVAN |
| Credential | DDS |
| Practice Address |
58 Mount Bethel Rd Ste 202 Warren NJ 07059-2654 |
| Practice Telephone | 9082227922 |
| Practice Fax Number | 9082227923 |
| Mailing Telephone | 9082227922 |
| Mailing Fax Number | 9082227923 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02036700 | NJ | 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 |
| 1841464310 | Daniel Andrew Sullivan | Dentist | 11062 N Cedarburg Road, Mequon, WI 53092 | 2008-04-16 |
| 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 |
| Street Address |
58 MOUNT BETHEL RD STE 202 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598775892 | Craig L Menker | Dentist | 58 Mount Bethel Rd, Suite 201, Warren, NJ 07059-2654 | 2006-08-09 |
| 1871983197 | Lee Aesthetic Center, LLC | Ophthalmology | 58 Mount Bethel Rd, Suite 302, Warren, NJ 07059-2654 | 2015-01-26 |
| 1447548607 | Warren Oral & Maxillofacial Surgery Associates, LLC | Dentist | 58 Mount Bethel Rd, Suite 202, Warren, NJ 07059-2654 | 2011-07-21 |
| 1447412952 | Henry Lee | Ophthalmology | 58 Mount Bethel Rd, Ste 302, Warren, NJ 07059-2654 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1770848129 | Bradley Dental | Dentist | 21635 Ryan Rd, Warren, MI 48091-2788 | 2012-07-11 |
| 1912017336 | Michael B. Krzemien | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2006-08-30 |
| 1790730406 | John Mason Hackenberger | Dentist | 29427 Ryan Rd, Warren, MI 48092-2203 | 2006-05-23 |
| 1033163886 | Terry B Philibin | Dentist | 405 Niles Cortland Rd Se, Suite #101, Warren, OH 44484-2460 | 2006-05-19 |
| 1124089545 | Jeffrey Richard Mcclain | Dentist | 8893 E Market St, Warren, OH 44484-2351 | 2006-03-28 |
| 1366442212 | Steven M. Wolf | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-21 |
| 1750766358 | Taneenop Aramphongphan | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059-2655 | 2015-07-23 |
| 1376923623 | Mark Grinzinger | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2015-06-02 |
| 1720341886 | Arshi Lehal | Dentist | 29427 Ryan Rd, Warren, MI 48092 | 2012-06-22 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on DR. DANIEL PETER 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.