1. Home
  2. Directory
  3. Kansas
  4. Wichita
  5. Dentist
  6. NPI Profile

DR. PREDDIS LEROY SULLIVAN DDS
NPI 1477616662
Dentist - General Practice in Wichita, KS

Active since December 18, 2006
1619 N WATERFRONT PKWY, WICHITA, KS 67206(316) 462-3354 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Jul 31, 2019 (2 updates tracked since 2019).

About Dr. Preddis Leroy Sullivan Dds NPPES

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

DR. PREDDIS LEROY SULLIVAN DDS (NPI 1477616662) is an individual general practice provider in Wichita, Kansas, licensed in California (54500) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1477616662
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PREDDIS LEROY SULLIVANCredential: DDS
Location Address1619 N WATERFRONT PKWYWichita, KS 67206-6602
Mailing Address3620 N Crest CtWichita, KS 67226-1019 · (916) 517-9905
Phone(316) 462-3354
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1477616662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 54500
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.
1619 N WATERFRONT PKWY, Wichita, KS 67206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

TRINITY RIVER DENTAL PROFESSIONAL CORPORATION
Dentist (General Practice)
1619 N WATERFRONT PKWY
WICHITA, KS 67206
Sedgwick County (916) 517-9905

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 Preddis Sullivan's NPI number?

The NPI number for Preddis Sullivan is 1477616662. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Preddis Sullivan located?

Preddis Sullivan practices at 1619 N Waterfront Pkwy, Wichita, KS 67206. The listed phone number is (316) 462-3354.

What is Preddis Sullivan's specialty?

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

What insurance does Preddis Sullivan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Preddis 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 Preddis Sullivan was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.