SULLIVAN DENTAL PARTNERSHIP, LLC
NPI 1275700817
Dentist - General Practice in Sullivan, MO

Active since May 13, 2008
300 WALMART DR, SULLIVAN, MO 63080(573) 860-2552(573) 860-4553 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan Dental Partnership, Llc NPPES

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

SULLIVAN DENTAL PARTNERSHIP, LLC (NPI 1275700817) is a healthcare organization registered as a general practice in Sullivan, Missouri and active in the NPI registry since May 2008. The organization lists Barry D Brace, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1275700817
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSULLIVAN DENTAL PARTNERSHIP, LLC
Location Address300 WALMART DRSullivan, MO 63080-3333
Mailing Address300 Walmart DrSullivan, MO 63080-3333 · (573) 860-2552 · Fax (573) 860-4553
Fax(573) 860-4553
Organization SubpartNo
Authorized OfficialBarry D BraceDentist/owner · (314) 965-7838
Enumeration DateMay 13, 2008
NPI 1275700817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
300 WALMART DR, Sullivan, MO 63080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
300 WALMART DR
SULLIVAN, MO 63080
Durable Medical Equipment & Medical Supplies (Customized Equipment)
300 WALMART DR
SULLIVAN, MO 63080

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 Sullivan Dental Partnership, LLC's NPI number?

The NPI number for Sullivan Dental Partnership, LLC is 1275700817. It was assigned to this organization in the NPPES registry on May 13, 2008.

Where is Sullivan Dental Partnership, LLC located?

Sullivan Dental Partnership, LLC is located at 300 Walmart Dr, Sullivan, MO 63080. The listed phone number is (573) 860-2552.

What is Sullivan Dental Partnership, LLC'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 Sullivan Dental Partnership, LLC was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.