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MARTHA M SULLIVAN GENERAL DENTISTRY
NPI 1073524419
Dentist in Worcester, MA

Active since August 10, 2006PECOS Enrolled
26 QUEEN ST, DENTAL, WORCESTER, MA 01610(508) 860-7700(508) 860-7990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha M Sullivan General Dentistry NPPES

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

MARTHA M SULLIVAN GENERAL DENTISTRY (NPI 1073524419) is an individual dentist in Worcester, Massachusetts, licensed in Massachusetts (15920) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073524419
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARTHA M SULLIVANCredential: GENERAL DENTISTRY
Location Address26 QUEEN ST, DENTALWorcester, MA 01610-2473
Mailing Address26 Queen St, DentalWorcester, MA 01610-2473 · (508) 860-7700 · Fax (508) 860-7990
Phone(508) 860-7700
Fax(508) 860-7990
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1073524419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 15920
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.
26 QUEEN ST, Worcester, MA 01610
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Other Identifiers 9

Other15920MA · Altus Dental
Other15920MA · Anthem Bcbs Dental
OtherAA20303MA · Harvard Pilgrim
Other15920MA · Ameritas
Other15920MA · Guardian Dental
Medicaid1300709MA
Other15920MA · Anthem Bluecare
Other91285MA · Fallon Select
Medicare UPINOTHOOOMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha M Sullivan General Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

HA TOOHEY
Specialist
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
DR. QUANG VAN LE PHARM.D.
Pharmacist
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7730
NANCY RUTH DIFINIZIO RN, BALS
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
MRS. NATALIE W SIEMEN R.N.
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 860-7700
MADHUSMITA DHAKAL M.D.
Psychiatry & Neurology (Psychiatry)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 856-6580
ERICH BERANTUO CNP
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (347) 241-9661
JULIE LYNN WEST
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (508) 334-2670
ABIGAIL BOATEMAA
Dietitian, Registered
26 QUEEN ST
WORCESTER, MA 01610
Worcester County (978) 868-7964

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 Martha Sullivan's NPI number?

The NPI number for Martha Sullivan is 1073524419. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Martha Sullivan located?

Martha Sullivan practices at 26 Queen St Dental, Worcester, MA 01610. The listed phone number is (508) 860-7700.

What is Martha Sullivan's specialty?

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

Is Martha Sullivan enrolled in Medicare?

Yes. Martha Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Martha Sullivan accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Martha Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martha Sullivan was last updated on July 9, 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.