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Active NPI 1295464220 Individual Practitioner Male Practitioner

Dr. Robert Joseph O'sullivan , DDS

Dentist - General Practice • Nome, AK

Professional Overview & Biography Verified Profile Summary

Dr. Robert O'Sullivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Nome, AK. Practice services are available at 1000 GREG KRUSCHEK AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Greg Kruschek Avenue

Nome, AK 99762

Telephone 9074433311
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Nome, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Nome, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.033694

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MT DEN-DEN-LIC-23667

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 6001012-15

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Logan Huff , DO

Family Medicine

NPI 1003264029

Doctor of Osteopathic Medicine (D.O.)

NPI 1003395328

AUDCCCA

Kathleen Hinkle , PA-C

Physician Assistant

NPI 1033182779

Physician Assistant (Certified)

Timothy Sagoonick

Technician - Personal Care Attendant

NPI 1033782354
NPI 1043881303

Doctor of Optometry

Kristy Kuzuguk

Technician - Personal Care Attendant

NPI 1053087924

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 03, 2022

Registered at 1000 GREG KRUSCHEK AVENUE, NOME, AK 99762 (Tel: 9074433311)

📍
Updated Business Mailing Address August 03, 2022

Registered at 1000 GREG KRUSCHEK AVENUE, NOME, AK 997628754 (Tel: 9074433311)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Dentist (License #DEN-DEN-LIC-23667 in MT)

NPI Profile Active June 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2022

Registered at 589 ABERDEEN RD, FRANKFORT, IL 604238754 (Tel: 7082808803)

📍
Updated Business Mailing Address June 06, 2022

Registered at 589 ABERDEEN RD, FRANKFORT, IL 604238754 (Tel: 7082808803)

👤
Provider Name / Credentials Updated June 06, 2022

Recorded as ROBERT O'SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Dentist (License #019.033694 in IL)

🟢
Initial NPI Registration & Enumeration June 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295464220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2022
Last Update: August 03, 2022
Sole Proprietor: Yes

Mailing Address

1000 Greg Kruschek Avenue

Nome, AK 997628754

Phone: 9074433311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.