Dr. Richard F Sullivan , DDS
Dentist - General Practice • Syracuse, NY
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. Richard Sullivan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Sullivan, DDS was a registered Dentist - General Practice practicing in Syracuse, NY. Throughout an active medical career spanning 10 years, Dr. Sullivan provided care at the practice location at 2717 BELLEVUE AVE until profile deactivation on 2017-03-07.
Practice Location & Contact Primary Location
2717 Bellevue Ave
Syracuse, NY 13219
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Syracuse, NY
Practicing in Syracuse, NY (8411 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Social Worker - Clinical
Licensed Master Social Worker
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 07, 2017
NPI status registered as active in NPPES database
Registered at 2717 BELLEVUE AVE, SYRACUSE, NY 13219 (Tel: 3154785430)
Registered at 5094 SKYLINE DR, SYRACUSE, NY 13215 (Tel: 3154922961)
Recorded as RICHARD SULLIVAN, DDS
Dentist (License #20097 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5094 Skyline Dr
Syracuse, NY 13215
Phone: 3154922961
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