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DR. OLIVER SULLIVAN DMD
NPI 1104924422
Dentist - General Practice in Bronx, NY

Active since September 20, 2006
1770 GRAND CONCOURSE, STE 2F, BRONX, NY 10457(718) 901-8110(718) 901-8121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Oliver Sullivan Dmd NPPES

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

DR. OLIVER SULLIVAN DMD (NPI 1104924422) is an individual general practice provider in Bronx, New York, licensed in New York (052324-1) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104924422
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OLIVER SULLIVANCredential: DMD
Location Address1770 GRAND CONCOURSE, STE 2FBronx, NY 10457-5524
Mailing Address1770 Grand Concourse, Ste 2fBronx, NY 10457-5524 · (718) 901-8110 · Fax (718) 901-8121
Phone(718) 901-8110
Fax(718) 901-8121
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104924422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 052324-1
Definition
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.
1770 GRAND CONCOURSE, Bronx, NY 10457
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Accepted Insurance

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

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.

DR. VICTOIRE BOGUI DMD
Dentist (General Practice)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. RAINA C. LEE DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. PAUL GATES DDS
Dentist (Oral and Maxillofacial Surgery)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. MITCHELL JUDD SAREMBOCK DDS
Student in an Organized Health Care Education/Training Program
1770 GRAND CONCOURSE, STE 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. REEM HEMANTHARAJU DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. GILDA DIAZ-FUENTES MD
Internal Medicine (Pulmonary Disease)
1770 GRAND CONCOURSE, 2G
BRONX, NY 10457
Bronx County (718) 518-5581
ERNST, SY AND MENON
Specialist
1770 GRAND CONCOURSE, #2G
BRONX, NY 10457
Bronx County (718) 518-5581
DR. SHERYL GEORGE DDS
Dentist (Pediatric Dentistry)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110

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 Oliver Sullivan's NPI number?

The NPI number for Oliver Sullivan is 1104924422. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Oliver Sullivan located?

Oliver Sullivan practices at 1770 Grand Concourse Ste 2F, Bronx, NY 10457. The listed phone number is (718) 901-8110.

What is Oliver Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Oliver Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Oliver 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 Oliver 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.