Robert Joseph O'Sullivan, DDS

General Practice Dentistry · Nome, AK

Individual Active NPI

NPI number 1295464220

Practice location

1000 Greg Kruschek Avenue
Nome, AK 99762

Phone: (907) 443-3311

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NPI record

NPI: 1295464220
Entity type: Individual (Type 1)
Enumeration date: June 6, 2022
Last updated: August 3, 2022
Certified: July 26, 2022
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	019.033694	IL
General Practice Dentistry	`1223G0001X`	DEN-DEN-LIC-23667	MT
General Practice Dentistry	`1223G0001X`	6001012-15	WI

Mailing address

1000 Greg Kruschek Avenue
Nome, AK 99762-8754

Phone: (907) 443-3311

About Dr. O'Sullivan

Robert Joseph O'Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1000 Greg Kruschek Avenue, Nome, AK 99762. The NPI number 1295464220 was assigned on June 6, 2022 and the record was last updated on August 3, 2022.

Dr. O'Sullivan lists 3 licenses in the registry: #019.033694 (IL) for General Practice Dentistry; #DEN-DEN-LIC-23667 (MT) for General Practice Dentistry; #6001012-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Joseph O'Sullivan, DDS?

The NPI number is 1295464220.

What is the phone number of Dr. O'Sullivan?

The phone number listed for the practice location is (907) 443-3311.

Where is Dr. O'Sullivan located?

1000 Greg Kruschek Avenue, Nome, AK 99762.

What is the taxonomy code for Dr. O'Sullivan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

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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