Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689012403 Individual Practitioner Male Practitioner

Dr. Daniel James Sullivan , DMD

Dentist - General Practice • Moscow, PA

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sullivan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Moscow, PA. Practice services are available at 109 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 N Main St

Moscow, PA 184449020

Telephone 5708424255

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moscow, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Moscow, PA (4936 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 PA DS039547

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

1 Associated Practitioners
NPI 1558385815

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2013

Registered at 109 N MAIN ST, MOSCOW, PA 184449020 (Tel: 5708424255)

📍
Updated Business Mailing Address June 14, 2013

Registered at 109 N MAIN ST, MOSCOW, PA 184449020 (Tel: 5708424255)

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Provider Name / Credentials Updated June 14, 2013

Recorded as DANIEL SULLIVAN, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Dentist (License #DS039547 in PA)

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Initial NPI Registration & Enumeration June 14, 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: 1689012403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2013
Last Update: June 14, 2013
Sole Proprietor: Yes

Mailing Address

109 N Main St

Moscow, PA 184449020

Phone: 5708424255

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.