Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104924422 Individual Practitioner Male Practitioner

Dr. Oliver Sullivan , DMD

Dentist - General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Oliver Sullivan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bronx, NY. Practice services are available at 1770 GRAND CONCOURSE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1770 Grand Concourse
Ste 2f

Bronx, NY 104575524

Telephone 7189018110
Fax 7189018121
Associated Practice Facility / Clinic
🏢 Ernst, Sy And Menon Facility NPI 1144260910

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 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 NY 052324-1

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

40 Associated Practitioners
Dr. Victoire Bogui , DMD

Dentist - General Practice

NPI 1003812447

Doctor of Dental Medicine

Dr. Raina Lee , DDS

Dentist - General Practice

NPI 1023284338

Doctor of Dental Surgery

Dr. Paul Gates , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033115506

Doctor of Dental Surgery

Dr. Tashorn Gomez , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1043635071

Doctor of Dental Surgery

Dr. Reem Hemantharaju , DDS

Dentist - General Practice

NPI 1053574061

Doctor of Dental Surgery

Dr. Nourhan Abdel-Rahim , DMD

Student in an Organized Health Care Education/Training Program

NPI 1144689241

Doctor of Dental Medicine

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 1770 GRAND CONCOURSE, STE 2F, BRONX, NY 104575524 (Tel: 7189018110)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1770 GRAND CONCOURSE, STE 2F, BRONX, NY 104575524 (Tel: 7189018110)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OLIVER SULLIVAN, DMD

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

Dentist (License #052324-1 in NY)

🟢
Initial NPI Registration & Enumeration September 20, 2006

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. Oliver Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Oliver Sullivan

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

NPI Administrative Meta

NPI Number: 1104924422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1770 Grand Concourse, Ste 2f

Bronx, NY 104575524

Phone: 7189018110

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.