Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689006520 Individual Practitioner Male Practitioner

Dr. Mark Philip Sullivan , DDS

Dentist - Endodontics • Edina, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sullivan, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Edina, MN. Practice services are available at 6545 FRANCE AVE S STE 366 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6545 France Ave S Ste 366

Edina, MN 554352121

Telephone 9522415851

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Edina, MN (108 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

CMS Verified: 2020-12-01
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MN D13501

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 01, 2020

Registered at 6545 FRANCE AVE S STE 366, EDINA, MN 554352121 (Tel: 9522415851)

📍
Updated Business Mailing Address December 01, 2020

Registered at 6545 FRANCE AVE S STE 366, EDINA, MN 554352121 (Tel: 9522415851)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Dentist (License #D13501 in MN)

NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2013

Registered at 801 NEWTON ROAD, W341 DENTAL SCIENCE BUILDING, IOWA CITY, IA 522421001 (Tel: 5152271930)

📍
Updated Business Mailing Address August 02, 2013

Registered at 801 NEWTON ROAD, W341 DENTAL SCIENCE BUILDING, IOWA CITY, IA 522421001 (Tel: 5152271930)

👤
Provider Name / Credentials Updated August 02, 2013

Recorded as MARK SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Dentist (License #DDS-09031 in IA)

🟢
Initial NPI Registration & Enumeration August 02, 2013

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: 1689006520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2013
Last Update: December 01, 2020
Sole Proprietor: No

Mailing Address

6545 France Ave S Ste 366

Edina, MN 554352121

Phone: 9522415851

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.