Individual provider · Type 1 NPI

Shannon Sullivan, DDS

Dentist · New York, NY

NPI number 1407267164 Active

Practice location

100 Haven Ave
New York, NY 10032-2645

Call (212) 342-0107 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X024571 (OH)

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 1407267164

Shannon Sullivan, DDS's National Provider Identifier is 1407267164, issued on May 15, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in New York, NY. The record was last updated on Sep 14, 2016.