Cody Lee Sullivan, DDS

Dentist · Camp Pendleton, CA

Individual Active NPI

NPI number 1942795877

Practice location

200 Mercy Circle
Camp Pendleton, CA 92055-5191
Phone
(760) 725-3417

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NPI record

NPI
1942795877
Entity type
Individual (Type 1)
Enumeration date
June 23, 2018
Last updated
February 3, 2025
Certified
January 31, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2018021980 MO
Dentist 122300000X 0401418537 VA

Mailing address

200 Mercy Circle
Camp Pendleton, CA 92005
Phone
(760) 725-3879

About Dr. Sullivan

Cody Lee Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 200 Mercy Circle, Camp Pendleton, CA 92055-5191. The NPI number 1942795877 was assigned on June 23, 2018 and the record was last updated on February 3, 2025.

Dr. Sullivan lists 2 licenses in the registry: #2018021980 (MO) for Dentist; #0401418537 (VA) 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 Cody Lee Sullivan, DDS?

The NPI number is 1942795877.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (760) 725-3417.

Where is Dr. Sullivan located?

200 Mercy Circle, Camp Pendleton, CA 92055-5191.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 122300000X – Dentist; 1 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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