MATTHIEU SULLIVAN


Address: 4915 25th Ave Ne, #205, Seattle, WA 98105-5667
Phone: 2065241600

MATTHIEU SULLIVAN (NPI# 1871026328) 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) 1871026328
Entity Type Individual
Full Name MATTHIEU SULLIVAN
Practice Address 4915 25th Ave Ne
#205
Seattle
WA 98105-5667
Mailing Address 14003 E 89th St N
Owasso
OK 74055-2594
Practice Telephone 2065241600
Enumeration Date 2017-04-11
Last Update Date 2017-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DR60745064 WA Dental Providers

Office Location

Street Address 4915 25TH AVE NE
#205
City SEATTLE
State WA
Zip Code 98105-5667

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144222795 Sarah K Pohlmann Internal Medicine 4915 25th Ave Ne, #301, Seattle, WA 98105-5667 2005-08-12
1710449277 Samuel M Elcik Student in an Organized Health Care Education/Training Program 4915 25th Ave Ne, Seattle, WA 98105-5667 2019-04-03
1376001867 Kristen Caprye Williams Acupuncturist 4915 25th Ave Ne, Seattle, WA 98105-5667 2019-03-04
1710428578 Heather Ann Freese Riley Social Worker 4915 25th Ave Ne, Ste 300-w, Seattle, WA 98105-5667 2017-03-13
1215385877 Laura Burgett Student in an Organized Health Care Education/Training Program 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 2016-05-24
1497147201 Brandon Ware Physician Assistant 4915 25th Ave Ne, Seattle, WA 98105-5667 2015-03-03
1699183293 Kevin Kunde Specialist/Technologist 4915 25th Ave Ne, Seattle, WA 98105-5667 2014-07-27
1699190835 John M Owen Iv Dentist 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 2014-02-25
1295156784 Sound Plastic Surgery Pllc Plastic Surgery 4915 25th Ave Ne, Seattle, WA 98105-5667 2013-12-30
1306270905 Advanced Dermatology and Laser Institute of Seattle Pllc Dermatology 4915 25th Ave Ne, Seattle, WA 98105-5667 2013-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326662396 Dale Justin Podolsky Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 2020-06-04
1376170878 Andrew Crompton Yazman Pediatrics 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 2020-03-25
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1255981189 Emily King Student in an Organized Health Care Education/Training Program Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 2019-09-12
1821659327 Sara Katherine Horne Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 2019-06-25
1881252575 Darryl Lee Wright Peer Specialist Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 2019-05-29
1487117891 Nirupama Madhavan Behavioral Analyst 5001 25th Ave Ne, Seattle, WA 98105 2019-04-11
1780155648 Eryn R Mcentee Naturopath 2216 Ne46th St, Seattle, WA 98105 2018-12-17
1356811921 Kyle Leland Bernbach Massage Therapist 5224 Ravenna Ave Ne, Seattle, WA 98105 2018-11-27
1548742380 Janal Kim Physician Assistant 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 2018-08-29
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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
1134736028 Ibraheem M Al Naqshabandy Dentist 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 2020-09-25
1922614890 Vicky Herrera Dentist 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 2020-09-16
1972112514 Victoria Chang Dentist 4437 41st Ave Sw Unit A, Seattle, WA 98116-4218 2020-07-29
1952930281 Luke Robert Taylor Dentist 1959 Ne Pacific Street Hsb Room B241, Seattle, WA 98195-0001 2020-04-07
1700414372 Morgan Fannon Dentist 1959 Ne Pacific Street Hsb# B241, Seattle, WA 98195-0001 2020-03-30
1467089318 Parham A Tabar Dentist 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 2020-03-23
1447882725 Banner Dental Dentist 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 2020-02-05
1043872203 Teja Kotresh Neral Dentist 509 Olive Way Ste 1230, Seattle, WA 98101-1745 2019-07-08
1285295022 Fadi Shaya Dentist 4700 42nd Ave Sw Ste 530, Seattle, WA 98116-4561 2019-06-24
1356803662 Sarah Baik Dentist 424 19th Ave E Apt 101, Seattle, WA 98112-5350 2019-04-04
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Competitor

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City SEATTLE
Zip Code 98105

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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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