Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669466280 Individual Practitioner Female Practitioner

Dr. Coleen Sullivan , DDS

Dentist - General Practice • Hilo, HI

Professional Overview & Biography Verified Profile Summary

Dr. Coleen Sullivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hilo, HI. Practice services are available at 400 HUALANI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Hualani St
Bldg 9 Suite 192

Hilo, HI 967204378

Telephone 8089356620
Fax 8089356781
Associated Practice Facility / Clinic
🏢 Hawaii Dental Group, Inc. Facility NPI 1497063226

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hilo, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
44 Specialists

Practicing in Hilo, HI (740 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 HI DT-2596

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 AZ 4503

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
191958 (AZ)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1134497670
Dr. Maricris Mangasi , DDS

Dentist - General Practice

NPI 1366809865

Doctor of Dental Surgery

NPI 1508812033

Doctor of Dental Surgery

NPI 1750437620

Doctor of Dental Surgery

NPI 1881726826

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2016

Registered at 400 HUALANI ST, BLDG 9 SUITE 192, HILO, HI 967204378 (Tel: 8089356620)

📍
Updated Business Mailing Address December 19, 2016

Registered at 400 HUALANI ST, BLDG 9 SUITE 192, HILO, HI 967204378 (Tel: 8089356620)

👤
Provider Name / Credentials Updated December 19, 2016

Recorded as COLEEN SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Dentist (License #DT-2596 in HI)

🟢
Initial NPI Registration & Enumeration September 09, 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: 1669466280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: December 19, 2016
Sole Proprietor: No

Mailing Address

400 Hualani St, Bldg 9 Suite 192

Hilo, HI 967204378

Phone: 8089356620

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.