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LARRY D SULLIVAN DDS
NPI 1003986928
Dentist in Willits, CA

Active since November 08, 2006
45 HAZEL ST, WILLITS, CA 95490(707) 456-9700(707) 456-9585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry D Sullivan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY D SULLIVAN DDS (NPI 1003986928) is an individual dentist in Willits, California, licensed in California (18646) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003986928
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLARRY D SULLIVANCredential: DDS
Location Address45 HAZEL STWillits, CA 95490-4222
Mailing Address45 Hazel StWillits, CA 95490-4222 · (707) 456-9700 · Fax (707) 456-9585
Phone(707) 456-9700
Fax(707) 456-9585
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003986928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 18646
Definition
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.
45 HAZEL ST, Willits, CA 95490
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET LUCY ARNER M.D.
Family Medicine
45 HAZEL ST
WILLITS, CA 95490
Mendocino County (707) 456-9600
HUONG TRAN DMD
Dentist
45 HAZEL ST
WILLITS, CA 95490
Mendocino County (707) 456-9600
JOLEEN BUFFINGTON WHNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
45 HAZEL ST
WILLITS, CA 95490
Mendocino County (707) 456-9600
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
45 HAZEL ST
WILLITS, CA 95490
Mendocino County (707) 456-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Sullivan's NPI number?

The NPI number for Larry Sullivan is 1003986928. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Larry Sullivan located?

Larry Sullivan practices at 45 Hazel St, Willits, CA 95490. The listed phone number is (707) 456-9700.

What is Larry Sullivan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Larry Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.