DR. JOHN SULLIVAN D.D.S.
NPI 1205104627
Dentist in Tamuning, GU

Q: What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1205104627. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Q: What is John Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 13, 2011

548 S MARINE CORPS DR, TAMUNING, GU 96913(671) 646-5824(671) 647-3556 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John Sullivan D.d.s. NPPES

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

DR. JOHN SULLIVAN D.D.S. (NPI 1205104627) is an individual dentist in Tamuning, Guam, licensed in Guam (D930) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1205104627

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JOHN SULLIVANCredential: D.D.S.

Location Address548 S MARINE CORPS DRTamuning, GU 96913-3539

Mailing AddressPo Box 6578Tamuning, GU 96931-6578 · (671) 646-6956 · Fax (671) 647-3556

Phone(671) 646-5824

Fax(671) 647-3556

Sole ProprietorNo

Enumeration DateDecember 13, 2011

✔ NPI 1205104627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GU · D930

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.

548 S MARINE CORPS DR, Tamuning, GU 96913

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