Larry D. Sullivan, DDS

Dentist · Willits, CA

Individual Active NPI

NPI number 1003986928

Practice location

45 Hazel St
Willits, CA 95490-4222
Phone
(707) 456-9700
Fax
(707) 456-9585

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NPI record

NPI
1003986928
Entity type
Individual (Type 1)
Enumeration date
November 8, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 18646 CA

About Dr. Sullivan

Larry D. Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 45 Hazel St, Willits, CA 95490-4222. The NPI number 1003986928 was assigned on November 8, 2006 and the record was last updated on July 8, 2007.

Dr. Sullivan lists a license in the registry: #18646 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry D. Sullivan, DDS?

The NPI number is 1003986928.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (707) 456-9700.

Where is Dr. Sullivan located?

45 Hazel St, Willits, CA 95490-4222.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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