Samuel Clifton Sullivan, DMD

Dentist · Batesville, MS

Individual Active NPI

NPI number 1487586491

Practice location

160 Cracker Barrell Dr
Batesville, MS 38606-3031
Phone
(662) 563-7821

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NPI record

NPI
1487586491
Entity type
Individual (Type 1)
Enumeration date
June 2, 2026
Last updated
June 2, 2026
Certified
June 2, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 112661 MS

About Dr. Sullivan

Samuel Clifton Sullivan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 160 Cracker Barrell Dr, Batesville, MS 38606-3031. The NPI number 1487586491 was assigned on June 2, 2026 and the record was last updated on June 2, 2026.

Dr. Sullivan lists a license in the registry: #112661 (MS) 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 Samuel Clifton Sullivan, DMD?

The NPI number is 1487586491.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (662) 563-7821.

Where is Dr. Sullivan located?

160 Cracker Barrell Dr, Batesville, MS 38606-3031.

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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