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MADELINE SULLIVAN DMD
NPI 1164315941
Dentist - General Practice in Las Vegas, NV

Active since May 31, 2025
1001 SHADOW LN, LAS VEGAS, NV 89106(702) 774-2400 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2026, Jun 11, 2025, May 31, 2025 (3 updates tracked since 2025).

About Madeline Sullivan Dmd NPPES

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

MADELINE SULLIVAN DMD (NPI 1164315941) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (8188) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1164315941
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMADELINE SULLIVANCredential: DMD
Location Address1001 SHADOW LNLas Vegas, NV 89106-4124
Mailing Address9110 W Tropicana Ave Unit 289Las Vegas, NV 89147-8254 · (916) 990-3111
Phone(702) 774-2400
Sole ProprietorNo
Enumeration DateMay 31, 2025
Last NPPES UpdateJanuary 3, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2026
✔ NPI 1164315941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 8188
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.
1001 SHADOW LN, Las Vegas, NV 89106
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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.

HANNAH RENE FERRARA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 744-2400
HANG DINH
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
MR. NICHOLAS FARDOS
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
HAMED KHANEH-ANGHA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
AUSTIN R COOK
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
SARAH SAEED
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
ANDRADA STANCIU
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
TYLER JAY PISCIOTTA
Dentist (General Practice)
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 321-9350

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 Madeline Sullivan's NPI number?

The NPI number for Madeline Sullivan is 1164315941. It was assigned to this individual provider in the NPPES registry on May 31, 2025.

Where is Madeline Sullivan located?

Madeline Sullivan practices at 1001 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 774-2400.

What is Madeline Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Madeline Sullivan was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.