MR. JOHN K SULLIVAN DDS
NPI 1063564979
Dentist in Springfield, OR

Active since January 18, 2007
498 HARLOW RD, SUITE 1, SPRINGFIELD, OR 97477(541) 225-4866(888) 502-2518 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John K Sullivan Dds NPPES

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

MR. JOHN K SULLIVAN DDS (NPI 1063564979) is an individual dentist in Springfield, Oregon, licensed in Oregon (D10371) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063564979
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JOHN K SULLIVANCredential: DDS
Location Address498 HARLOW RD, SUITE 1Springfield, OR 97477
Mailing Address498 Harlow Rd, Suite 1Springfield, OR 97477 · (541) 225-4866 · Fax (888) 502-2518
Fax(888) 502-2518
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 24, 2016
NPI 1063564979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10371
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.
498 HARLOW RD, Springfield, OR 97477

Other Providers at the Same Location NPPES 6

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

Dentist (Pediatric Dentistry)
498 HARLOW RD
SPRINGFIELD, OR 97477
Dentist
498 HARLOW RD, SUITE 5
SPRINGFIELD, OR 97477
Dentist (General Practice)
498 HARLOW RD, SUITE #5
SPRINGFIELD, OR 97477
Dentist (General Practice)
498 HARLOW RD, SUITE # 2
SPRINGFIELD, OR 97477
Dentist (General Practice)
498 HARLOW RD, SUITE #3
SPRINGFIELD, OR 97477
Dentist
498 HARLOW RD, SUITE 5
SPRINGFIELD, OR 97477

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1063564979. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is John Sullivan located?

John Sullivan practices at 498 Harlow Rd Suite 1, Springfield, OR 97477. The listed phone number is (541) 225-4866.

What is John 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 John Sullivan was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.