Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457412306 Individual Practitioner Male Practitioner

Dr. John J Sullivan , DDS

Dentist - General Practice • Lakeside, AZ

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lakeside, AZ. Practice services are available at 325 W WHITE MOUNTAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 W White Mountain Blvd

Lakeside, AZ 859296875

Telephone 9283674276
Fax 9283671539
Associated Practice Facility / Clinic
🏢 John J Sullivan, Dds, Pc Facility NPI 1629254859

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lakeside, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Lakeside, AZ (2600 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 2685

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2010

Registered at 325 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 859296875 (Tel: 9283674276)

📍
Updated Business Mailing Address April 21, 2010

Registered at 325 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 859296875 (Tel: 9283674276)

👤
Provider Name / Credentials Updated April 21, 2010

Recorded as JOHN SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2010

Dentist (License #2685 in AZ)

🟢
Initial NPI Registration & Enumeration December 13, 2006

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: 1457412306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: April 21, 2010
Sole Proprietor: Yes

Mailing Address

325 W White Mountain Blvd

Lakeside, AZ 859296875

Phone: 9283674276

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.