Individual provider · Type 1 NPI

Kristen Nicole Sullivan, DMD

Dentist · Philadelphia, PA

NPI number 1134414865 Active

Practice location

5675 N Front St, Suite 50
Philadelphia, PA 19120

Call (920) 838-1649 Map

Mailing address

430 W Erie St, Suite 200
Chicago, IL 60654-6914

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS038712 (PA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1134414865

Kristen Nicole Sullivan, DMD's National Provider Identifier is 1134414865, issued on Jun 10, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2011.