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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL CLIFTON SULLIVAN DMD
NPI 1487586491
Dentist in Batesville, MS

Active since June 02, 2026
160 CRACKER BARRELL DR, BATESVILLE, MS 38606(662) 563-7821 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Clifton Sullivan Dmd NPPES

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

SAMUEL CLIFTON SULLIVAN DMD (NPI 1487586491) is an individual dentist in Batesville, Mississippi, licensed in Mississippi (112661) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1487586491
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSAMUEL CLIFTON SULLIVANCredential: DMD
Location Address160 CRACKER BARRELL DRBatesville, MS 38606-3031
Mailing Address160 Cracker Barrell DrBatesville, MS 38606-3031 · (662) 563-7821
Phone(662) 563-7821
Sole ProprietorNo
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1487586491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 112661
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.
160 CRACKER BARRELL DR, Batesville, MS 38606
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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.

BATESVILLE PREMIER DENTAL PLLC
Clinic/Center (Dental)
160 CRACKER BARRELL DR
BATESVILLE, MS 38606
Panola County (662) 563-7821
DR. ANDERSON REID BENSCH DMD
Dentist (General Practice)
160 CRACKER BARRELL DR
BATESVILLE, MS 38606
Panola County (662) 563-7821

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 Samuel Sullivan's NPI number?

The NPI number for Samuel Sullivan is 1487586491. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Samuel Sullivan located?

Samuel Sullivan practices at 160 Cracker Barrell Dr, Batesville, MS 38606. The listed phone number is (662) 563-7821.

What is Samuel Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Sullivan was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.