Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639403629 Individual Practitioner Female Practitioner

Dr. Nala S Sullivan , DDS

Dentist - General Practice • Stafford, TX

Professional Overview & Biography Verified Profile Summary

Dr. Nala Sullivan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stafford, TX. Practice services are available at 12800 FOUNTAIN LAKE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12800 Fountain Lake Cir

Stafford, TX 774773756

Telephone 2812771659
Fax 2812771236
Associated Practice Facility / Clinic
🏢 Lewis And Associates, Dds, Pc Facility NPI 1972517787

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stafford, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Stafford, TX (10570 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 TX 25807

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
Dr. Wendy Cheng , DDS

Dentist - General Practice

NPI 1245381557

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2017

Registered at 12800 FOUNTAIN LAKE CIR, STAFFORD, TX 774773756 (Tel: 2812771659)

📍
Updated Business Mailing Address June 07, 2017

Registered at 12800 FOUNTAIN LAKE CIR, STAFFORD, TX 77477 (Tel: 2812771659)

👤
Provider Name / Credentials Updated June 07, 2017

Recorded as NALA SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Dentist (License #25807 in TX)

NPI Profile Active September 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2009

Registered at 1126 SELDEN ST, DETROIT, MI 48201 (Tel: 3135764613)

📍
Updated Business Mailing Address September 24, 2009

Registered at 1126 SELDEN ST, DETROIT, MI 48201 (Tel: 3135764613)

👤
Provider Name / Credentials Updated September 24, 2009

Recorded as NALA SULLIVAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2009

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 24, 2009

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: 1639403629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2009
Last Update: June 07, 2017
Sole Proprietor: No

Mailing Address

12800 Fountain Lake Cir

Stafford, TX 77477

Phone: 2812771659

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.