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Active NPI 1245241728 Individual Practitioner Male Practitioner

Dr. Michael Warren Sullivan , DDS

Dentist - General Practice • Lenexa, KS

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sullivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lenexa, KS. Practice services are available at 12136 W 87TH ST PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12136 W 87th St Pkwy

Lenexa, KS 662152893

Telephone 9134925052
Fax 9134927039
Associated Practice Facility / Clinic
🏢 Miller Sullivan & Associates Facility NPI 1740363977

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lenexa, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Lenexa, KS (1140 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 KS 6127

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

2 Associated Practitioners
Dr. Richard Miller , DDS

Dentist - General Practice

NPI 1134130610

Doctor of Dental Surgery

Dr. Steven Johnson , DDS

Dentist - General Practice

NPI 1952458390

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12136 W 87TH ST PKWY, LENEXA, KS 662152893 (Tel: 9134925052)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12136 W 87TH ST PKWY, LENEXA, KS 662152893 (Tel: 9134925052)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SULLIVAN, DDS

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

Dentist (License #6127 in KS)

🟢
Initial NPI Registration & Enumeration August 10, 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: 1245241728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

12136 W 87th St Pkwy

Lenexa, KS 662152893

Phone: 9134925052

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.