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Deactivated NPI 1740382001 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Barrett Sullivan , DDS

Dentist • Fenton, MI

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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. Roger Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2006
NPI Deactivation Date October 23, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Sullivan, DDS was a registered Dentist practicing in Fenton, MI. Throughout an active medical career spanning 13 years, Dr. Sullivan provided care at the practice location at 13552 WENWOOD PKWY until profile deactivation on 2019-10-23.

Practice Location & Contact Primary Location

Practice Address

13552 Wenwood Pkwy
Dr Roger B Sullivan

Fenton, MI 484301160

Telephone 8106295695
Fax 8106290968

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fenton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Fenton, MI (3647 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 MI 6954

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.

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 October 23, 2019

Record deactivated on October 23, 2019

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 13552 WENWOOD PKWY, DR ROGER B SULLIVAN, FENTON, MI 484301160 (Tel: 8106295695)

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Updated Business Mailing Address July 08, 2007

Registered at 13552 WENWOOD PKWY, FENTON, MI 484301160 (Tel: 8106295695)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER SULLIVAN, DDS

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

Dentist (License #6954 in MI)

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Initial NPI Registration & Enumeration September 05, 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: 1740382001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2006
Last Update: July 08, 2007
Deactivation Date: October 23, 2019

Mailing Address

13552 Wenwood Pkwy

Fenton, MI 484301160

Phone: 8106295695

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.