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MATILDA DAUS SULLIVAN DDS
NPI 1366198467
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since February 28, 2022
1352 SOUTH ST # C5, PHILADELPHIA, PA 19147(267) 909-9551 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, Feb 28, 2022 (2 updates tracked since 2022).

About Matilda Daus Sullivan Dds NPPES

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

MATILDA DAUS SULLIVAN DDS (NPI 1366198467) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS044472) and active in the NPI registry since February 2022. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1366198467
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMATILDA DAUS SULLIVANCredential: DDS
Location Address1352 SOUTH ST # C5Philadelphia, PA 19147-1858
Mailing Address2011 Bainbridge St Apt 2Philadelphia, PA 19146-1308 · (434) 610-7021
Phone(267) 909-9551
Sole ProprietorYes
Enumeration DateFebruary 28, 2022
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1366198467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS044472
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1352 SOUTH ST # C5, Philadelphia, PA 19147
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Secondary Practice Location 1

Location 12900 Island Ave Ste 2924Philadelphia, PA 19153-2028 · Phone (215) 492-9291

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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 Matilda Sullivan's NPI number?

The NPI number for Matilda Sullivan is 1366198467. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Matilda Sullivan located?

Matilda Sullivan practices at 1352 South St # C5, Philadelphia, PA 19147. The listed phone number is (267) 909-9551.

What is Matilda Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Matilda Sullivan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Matilda 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 Matilda Sullivan was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.