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Deactivated NPI 1952309239 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel B. Sullivan , DDS

Dentist - General Practice • Grand Junction, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2005
NPI Deactivation Date August 24, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sullivan, DDS was a registered Dentist - General Practice practicing in Grand Junction, CO. Throughout an active medical career spanning 16 years, Dr. Sullivan provided care at the practice location at 1120 WELLINGTON AVE until profile deactivation on 2021-08-24.

Practice Location & Contact Primary Location

Practice Address

1120 Wellington Ave
102

Grand Junction, CO 815016129

Telephone 9702454324
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Junction, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
51 Specialists

Practicing in Grand Junction, CO (2613 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 CO 7784

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

1 Associated Practitioners
Dr. J. Michael Corbett , DDS

Dentist - General Practice

NPI 1750389037

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 24, 2021

Record deactivated on August 24, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1120 WELLINGTON AVE, 102, GRAND JUNCTION, CO 815016129 (Tel: 9702454324)

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Updated Business Mailing Address July 08, 2007

Registered at 1120 WELLINGTON AVE, 102, GRAND JUNCTION, CO 815016129 (Tel: 9702454324)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL SULLIVAN, DDS

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

Dentist (License #7784 in CO)

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Initial NPI Registration & Enumeration July 12, 2005

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: 1952309239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: July 08, 2007
Deactivation Date: August 24, 2021

Mailing Address

1120 Wellington Ave, 102

Grand Junction, CO 815016129

Phone: 9702454324

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.