Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942795877 Individual Practitioner Male Practitioner

Dr. Cody Lee Sullivan , DDS

Dentist • Camp Pendleton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Cody Sullivan, DDS is a registered healthcare professional specializing in Dentist in Camp Pendleton, CA. Practice services are available at 200 MERCY CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Circle

Camp Pendleton, CA 920555191

Telephone 7607253417
Associated Practice Facility / Clinic
🏢 Nh Camp Pendleton Facility NPI 1386604387

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Camp Pendleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Camp Pendleton, CA (15331 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: 2025-01-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2018021980

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License VA 0401418537

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sherri Martinez , LMFT, ADCII

Counselor - Addiction (Substance Use Disorder)

NPI 1003640772

Licensed Marriage and Family Therapist, ADCII

Dr. Ashley Bittle , LCSW, PsyD

Psychologist - Clinical

NPI 1013108695

Licensed Clinical Social Worker, Doctor of Psychology (Psy.D.)

NPI 1013430370

Doctor of Physical Therapy

Melinda Martinez , PA

Physician Assistant

NPI 1023157013

Physician Assistant

Dr. Ella Schultz , DO

Student in an Organized Health Care Education/Training Program

NPI 1023851318

Doctor of Osteopathic Medicine (D.O.)

Dr. Maura Flynn , DO

Student in an Organized Health Care Education/Training Program

NPI 1023952348

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address February 03, 2025

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92005 (Tel: 7607253879)

📍
Updated Practice Location August 15, 2024

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 920555191 (Tel: 7607253417)

📍
Updated Business Mailing Address August 15, 2024

Registered at 6892 EMBARCADERO LN, CARLSBAD, CA 920113227 (Tel: 3149602064)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Dentist (License #0401418537 in VA)

NPI Profile Active June 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2018

Registered at 620 JOHN PAUL JONES CIR BLDG 1, PORTSMOUTH, VA 237082111 (Tel: 7579537591)

📍
Updated Business Mailing Address June 23, 2018

Registered at 107 CHESTERFIELD RD, HAMPTON, VA 236613210 (Tel: 3149602064)

👤
Provider Name / Credentials Updated June 23, 2018

Recorded as CODY SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2018

Dentist (License #2018021980 in MO)

🟢
Initial NPI Registration & Enumeration June 23, 2018

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: 1942795877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2018
Last Update: February 03, 2025
Sole Proprietor: No

Mailing Address

200 Mercy Circle

Camp Pendleton, CA 92005

Phone: 7607253879

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.