Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104107903 Individual Practitioner Male Practitioner

Dr. Joseph Vincent Sullivan , DDS

Dentist • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Sullivan, DDS is a registered healthcare professional specializing in Dentist in Omaha, NE. Practice services are available at 2109 CUMING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2109 Cuming St

Omaha, NE 681024325

Telephone 4062507093
Fax 4062507093

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 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: 2023-09-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 7685

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE60232759

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

23 Associated Practitioners
Dr. Ricardo Aparicio Garcia , DDS

Student in an Organized Health Care Education/Training Program

NPI 1003535360

Doctor of Dental Surgery

NPI 1104922434

Doctor of Dental Surgery

Dr. Arron Cleaver-Mcwilliams , DDS

Dentist - Pediatric Dentistry

NPI 1104996107

Doctor of Dental Surgery

Dr. Joseph Barsetti , DDS

Dentist - Pediatric Dentistry

NPI 1194777854

Doctor of Dental Surgery

NPI 1245038777

Doctor of Dental Surgery

NPI 1326577636

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 21, 2023

Registered at 2109 CUMING ST, OMAHA, NE 681024325 (Tel: 4062507093)

📍
Updated Business Mailing Address September 21, 2023

Registered at 2109 CUMING ST, OMAHA, NE 681024325 (Tel: 4022805990)

NPI Profile Active September 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2011

Registered at 9221 SANDIFUR PKWY, SUITE B, PASCO, WA 993019241 (Tel: 5095470730)

📍
Updated Business Mailing Address September 07, 2011

Registered at 9221 SANDIFUR PKWY, SUITE B, PASCO, WA 993019241 (Tel: 5095470730)

👤
Provider Name / Credentials Updated September 07, 2011

Recorded as JOSEPH SULLIVAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Dentist (License #DE60232759 in WA)

🟢
Initial NPI Registration & Enumeration September 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Joseph Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Joseph Sullivan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104107903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2011
Last Update: September 21, 2023
Sole Proprietor: No

Mailing Address

2109 Cuming St

Omaha, NE 681024325

Phone: 4022805990

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.