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KYLE D SULLIVAN, DMD, PLLC
NPI 1346718244
Clinic/Center - Dental in Walla Walla, WA

Active since November 08, 2018
121 W POPLAR ST STE A, WALLA WALLA, WA 99362(509) 525-3522(509) 525-0518 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle D Sullivan, Dmd, Pllc NPPES

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

KYLE D SULLIVAN, DMD, PLLC (NPI 1346718244), doing business as Sullivan Family Dental, is a healthcare organization registered as a dental in Walla Walla, Washington and active in the NPI registry since November 2018. The organization lists Kyle Sullivan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1346718244
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKYLE D SULLIVAN, DMD, PLLC
Location Address121 W POPLAR ST STE AWalla Walla, WA 99362-2871
Mailing Address121 W Poplar St Ste AWalla Walla, WA 99362-2871 · (509) 525-3522 · Fax (509) 525-0518
Phone(509) 525-3522
Fax(509) 525-0518
Organization SubpartNo
Authorized OfficialKyle SullivanOwner/dentist · (509) 525-3522
Enumeration DateNovember 8, 2018
✔ NPI 1346718244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
121 W POPLAR ST STE A, Walla Walla, WA 99362
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Other Names 1

Doing Business AsSullivan Family Dental

Other Identifiers 1

Medicaid122300000XWA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.Insurance ›

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 Kyle D Sullivan, Dmd, PLLC's NPI number?

The NPI number for Kyle D Sullivan, Dmd, PLLC is 1346718244. It was assigned to this organization in the NPPES registry on November 8, 2018. The provider is doing business as Sullivan Family Dental.

Where is Kyle D Sullivan, Dmd, PLLC located?

Kyle D Sullivan, Dmd, PLLC is located at 121 W Poplar St Ste A, Walla Walla, WA 99362. The listed phone number is (509) 525-3522.

What is Kyle D Sullivan, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Kyle D Sullivan, Dmd, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Kyle D Sullivan, Dmd, PLLC 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 Kyle D Sullivan, Dmd, PLLC was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.