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Deactivated NPI 1710983432 Deactivated / Inactive NPI Male Practitioner

Dr. Mark P. Sullivan , DDS

Dentist - General Practice • West Chester, PA

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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. Mark Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sullivan, DDS was a registered Dentist - General Practice practicing in West Chester, PA. Throughout an active medical career spanning 1 years, Dr. Sullivan provided care at the practice location at 1440 SOUTH POTTSTOWN PIKE until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

1440 South Pottstown Pike

West Chester, PA 193801271

Telephone 6104364088
Fax 6104360679
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Chester, PA

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

Practicing in West Chester, 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 DS022097-L

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.

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1440 SOUTH POTTSTOWN PIKE, WEST CHESTER, PA 193801271 (Tel: 6104364088)

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Updated Business Mailing Address July 08, 2007

Registered at 1440 SOUTH POTTSTOWN PIKE, WEST CHESTER, PA 193801271 (Tel: 6104364088)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK SULLIVAN, D.D.S.

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

Dentist (License #DS022097-L in PA)

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NPI Profile Reactivated March 30, 2006

Record officially reactivated for active practice on March 30, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration June 27, 2005

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: 1710983432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2005
Last Update: July 13, 2026
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

1440 South Pottstown Pike

West Chester, PA 193801271

Phone: 6104364088

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.