DR. SEAN TIMOTHY SULLIVAN (NPI# 1750421830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750421830 |
| Entity Type | Individual |
| Full Name | DR. SEAN TIMOTHY SULLIVAN |
| Credential | D.D.S. |
| Practice Address |
18625 Hoich Dr Omaha NE 68136-1233 |
| Practice Telephone | 4028917990 |
| Mailing Telephone | 4028917990 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5674 | NE | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
37607 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1265495857 | Sean Patrick Sullivan | Registered Nurse | 141 Lakeshore Dr, Unit A6, Racine, WI 53403-9653 | 2006-04-06 |
| 1093316929 | Sean Sullivan | Pharmacist | 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 | 2020-11-06 |
| 1043872138 | Sean Sullivan | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-28 |
| 1063906071 | Sean Sullivan | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-06-22 |
| 1477057958 | Sean Harry Sullivan Jr. | Surgery | 251 E Huron St, Chicago, IL 60611 | 2018-03-20 |
| 1881064970 | Sean Sullivan | Physical Therapist | 30 Broad St, Floor 12, New York, NY 10004-2304 | 2015-10-01 |
| 1932596772 | Sean Patrick Sullivan | Pediatrics | 3901 Beaubien St, Detroit, MI 48201 | 2015-04-20 |
| 1669871604 | Sean Raymond Sullivan | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2014-08-15 |
| 1023440401 | Sean Sullivan | Pharmacist | 1607 Way St, Reidsville, NC 27320-5748 | 2013-08-07 |
| Street Address |
18625 HOICH DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68136-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1790331601 | Athletico Excel Nebraska, LLC | Occupational Therapist | 16918 Morgan Avenue, Ste 11, Gretna, NE 68136 | 2019-08-15 |
| 1942727821 | J and A Walter LLC | Optometrist | 9979 South 168th Ave., Omaha, NE 68136 | 2017-08-23 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1922271832 | Gosch Family Dental P.C. | Dentist | 9850 S 168th Ave, Suite #4, Omaha, NE 68136 | 2008-04-11 |
| 1225228521 | Jeremy Dean Beranek | Specialist/Technologist | 16118 Emiline St, Omaha, NE 68136 | 2007-08-01 |
| 1396967774 | Heartland Software Services, Inc | Specialist | 9905 South 176th Street, Omaha, NE 68136 | 2007-05-03 |
| 1720157209 | Optimal Health Dental PC | Dentist | 6909 S 157th St, Suite C, Omaha, NE 68136 | 2006-11-07 |
| 1932214475 | Tiburon Family Dental PC | Dentist | 16919 Audrey St, Suite 40, Omaha, NE 68136 | 2006-08-21 |
| 1023290459 | Laura Elizabeth Reardon | Psychologist | 8343 S. 168th Ave, Omaha, NE 68136-0001 | 2007-11-27 |
| Find all providers in zip 68136 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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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.