Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003986928 Individual Practitioner Male Practitioner

Dr. Larry D Sullivan , DDS

Dentist • Willits, CA

Professional Overview & Biography Verified Profile Summary

Dr. Larry Sullivan, DDS is a registered healthcare professional specializing in Dentist in Willits, CA. Practice services are available at 45 HAZEL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 Hazel St

Willits, CA 954904222

Telephone 7074569700
Fax 7074569585
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Willits, CA

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

Practicing in Willits, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 18646

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

4 Associated Practitioners
NPI 1063482891

Doctor of Medicine (M.D.)

NPI 1215556766

Doctor of Dental Medicine

Dr. Ronald Zimmerman , MD

Internal Medicine

NPI 1306849674

Doctor of Medicine (M.D.)

Joleen Buffington , WHNP-BC

Nurse Practitioner - Obstetrics & Gynecology

NPI 1699503383

Women's Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 45 HAZEL ST, WILLITS, CA 954904222 (Tel: 7074569700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 45 HAZEL ST, WILLITS, CA 954904222 (Tel: 7074569700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #18646 in CA)

🟢
Initial NPI Registration & Enumeration November 08, 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: 1003986928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

45 Hazel St

Willits, CA 954904222

Phone: 7074569700

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.