Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255808705 Individual Practitioner Male Practitioner

Dr. James Woodfin Sullivan , DDS

Dentist • Bastrop, TX

Professional Overview & Biography Verified Profile Summary

Dr. James Sullivan, DDS is a registered healthcare professional specializing in Dentist in Bastrop, TX. Practice services are available at 121 KANEOHE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 Kaneohe Ln

Bastrop, TX 786027252

Telephone 5127750395

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bastrop, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Bastrop, TX (6851 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 17117

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2018

Registered at 121 KANEOHE LN, BASTROP, TX 786027252 (Tel: 5127750395)

📍
Updated Business Mailing Address November 01, 2018

Registered at 121 KANEOHE LN, BASTROP, TX 786027252 (Tel: 5129886942)

👤
Provider Name / Credentials Updated November 01, 2018

Recorded as JAMES SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2018

Dentist (License #17117 in TX)

🟢
Initial NPI Registration & Enumeration November 01, 2018

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: 1255808705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2018
Last Update: November 01, 2018
Sole Proprietor: No

Mailing Address

121 Kaneohe Ln

Bastrop, TX 786027252

Phone: 5129886942

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.