DR. DAVID JOSEPH SULLIVAN


Address: 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361
Phone: 5413162024

DR. DAVID JOSEPH SULLIVAN (NPI# 1952632507) 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) 1952632507
Entity Type Individual
Full Name DR. DAVID JOSEPH SULLIVAN
Credential DDS, MSD
Practice Address 413 Nw Larch Ave
Suite 201
Redmond
OR 97756-1361
Mailing Address Po Box 2326
Bend
OR 97709-2326
Practice Telephone 5413162024
Practice Fax Number 5415042124
Mailing Telephone 5413162024
Mailing Fax Number 5415042124
Enumeration Date 2010-01-21
Last Update Date 2010-01-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
D9384 OR Dental Providers

Other Providers DAVID SULLIVAN

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1023359312 David Sullivan Dentist 5833 Phyliss Ln, Mint Hill, NC 28227-9031 2013-03-11
1952550402 David Sullivan Counselor 2955 Valmont Rd Ste 110, Boulder, CO 80301-1360 2008-09-09
1558573956 David E Sullivan Social Worker 704 Marketview Ct, Fayetteville, NC 28301-4868 2007-05-06
1467670026 David Dell Sullivan Physical Therapist 499 Casey Way, Grand Junction, CO 81504-6281 2007-04-20
1578692760 David Matthew Sullivan Chiropractor 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 2007-03-05
1073648671 David Joseph Sullivan Optometrist 276 S Hollywood Blvd, Steubenville, OH 43952-2422 2007-02-22
1033276837 David Michael Sullivan Dentist 5177 N Bend Rd, Cincinnati, OH 45211-1900 2007-01-02

Office Location

Street Address 413 NW LARCH AVE
SUITE 201
City REDMOND
State OR
Zip Code 97756-1361

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013992072 Karen Jean Walz Physical Therapist 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 2005-12-13
1497104145 Emily Dutton Physical Therapist 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1396 2016-06-03
1912304528 Burrus Dentistry PC Dentist 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 2014-11-25
1770919730 Stephanie Michelle O'neill Dental Hygienist 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 2013-09-23
1881986859 David Mosher Burrus Dentist 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 2011-05-10
1922315043 Therapeutic Associates, Inc Occupational Therapist 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 2010-09-10
1487960621 Pacific Medical, Inc. Durable Medical Equipment & Medical Supplies 413 Nw Larch Ave, Ste 103, Redmond, OR 97756-1361 2010-08-25
1649583428 Elise Burrus Dentist 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 2010-07-21
1073833448 Debbie Rief Fnp LLC Nurse Practitioner 413 Nw Larch Ave, #203, Redmond, OR 97756-1361 2010-06-08
1033313697 Amy J Houchens Physical Therapist 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 2007-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679083349 Vicki Rae Morris Foster Care Agency 3585 Sw 35th St., Redmond, OR 97756 2017-10-06
1275066417 Norco, Inc Durable Medical Equipment & Medical Supplies 655 Nw Jackpine Ave, Redmond, OR 97756 2017-04-05
1750778015 Kelly Gobler Occupational Therapy Assistant 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 2015-04-23
1912303934 Andrea Adams Pharmacist 944 Sw Veterans Way, Redmond, OR 97756 2014-11-18
1649670365 Advantage Dental Clinics LLC Dentist 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 2014-08-29
1760891832 Elizabeth Mae Smith Counselor 2659 Sw 4th St Ste 102, Redmond, OR 97756 2014-08-04
1700296837 Heather A Ahlf Physician Assistant 1245 Nw Canal Blvd, Redmond, OR 97756 2014-04-29
1306289277 Asa Racquel Aramburo Social Worker 203 Sw 8th St., Redmond, OR 97756 2013-04-10
1427396969 Alison Elizabeth Jackson Pharmacist 944 Sw 9th Street, Redmond, OR 97756 2013-01-17
1083964449 Julie C Plachta Mechanotherapist 654 Nw 4th Street, Redmond, OR 97756 2012-09-13
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902356058 Roselind Nam Pllc Dentist 23535 Ne Novelty Hill Rd # D308, Redmond, WA 98053-5502 2016-10-12
1316063969 Bryan K Roos Dentist 16150 Ne 85th St Ste 124, Redmond, WA 98052-3544 2007-03-22
1336286152 Scot E Burgess Dentist 710 Sw Highland Ave, Redmond, OR 97756-3120 2007-01-31
1376784124 Danilee K. Baldwin Dentist 7530 164th Ave Ne, Suite #a250, Redmond, WA 98052-7812 2009-03-07
1679735807 Rose Chen Dentist 15640 Redmond Way, Redmond, WA 98052-3831 2008-06-29
1821216037 Shengyi Teng Dentist 15640 Redmond Way, Redmond, WA 98052-3831 2007-04-23
1841323946 Craig David Smith Dentist 7530 164th Ave Ne, Ste#a250, Redmond, WA 98052-7812 2007-03-14
1265565097 Warner R. Young Dentist 8299 161st Ave Ne, Suite 201, Redmond, WA 98052-3860 2007-03-13
1003908740 Judy C Chen Dentist 15955 Ne 85th St, #102, Redmond, WA 98052-3550 2006-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124636329 Daniel Hoopes Dentist 979 Young St Ste C, Woodburn, OR 97071-4954 2020-07-14
1487205233 J.r. Gregg LLC Dentist 1201 Se 223rd Ave Ste 220, Gresham, OR 97030-2578 2019-09-24
1447721295 Alix Jisun Leemin Dentist 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 2018-12-05
1003381914 Keyan Botsford Dentist 1625 E Mcandrews Rd Ste B, Medford, OR 97504-5334 2018-10-06
1316435241 Daniel J Floyd Dmd Ms LLC Dentist 863 W. Main St., Suite 200, Molalla, OR 97038 2018-04-26
1891208724 Jd Miller Dds PC Dentist 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 2017-11-14
1952761041 Hi 5 Orthodontics Dentist 18325 Sw Alexander, Suite 2, Aloha, OR 97003 2016-03-02
1992181838 Shannon Woods Dentist 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 2015-08-03
1790169217 Ortho Country Orthodontics LLC Dentist 1300 Ne Alpha Dr, Mcminnville, OR 97128-9711 2015-07-14
1033516232 Dennis Wade Trammell Dentist 2215 Willamette St. Suite B, Eugene, OR 97405-2847 2014-12-03
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Competitor

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City REDMOND
Zip Code 97756

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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