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DR. ANDREA LEE SULLIVAN DMD
NPI 1871092502
Dentist - General Practice in Glen Carbon, IL

Active since February 08, 2018
3024 SOUTH IL-159, GLEN CARBON, IL 62034(855) 579-2158 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrea Lee Sullivan Dmd NPPES

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

DR. ANDREA LEE SULLIVAN DMD (NPI 1871092502) is an individual general practice provider in Glen Carbon, Illinois, licensed in Missouri (2018003588) and active in the NPI registry since February 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871092502
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREA LEE SULLIVANCredential: DMD
Location Address3024 SOUTH IL-159Glen Carbon, IL 62034
Mailing Address902 Monterey DrO Fallon, IL 62269-2833 · (618) 975-7454
Phone(855) 579-2158
Sole ProprietorNo
Enumeration DateFebruary 8, 2018
Last NPPES UpdateMarch 17, 2018
✔ NPI 1871092502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2018003588
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.
3024 SOUTH IL-159, Glen Carbon, IL 62034
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Secondary Practice Locations 2

Location 11200 Big Bill RdArnold, MO 63010-2117 · Phone (636) 925-2129
Location 21809 Homer M Adams Pkwy Ste AAlton, IL 62002-5606 · Phone (844) 219-0605

Other Identifiers 1

Other2018003588MO · Missouri Dental Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 Andrea Sullivan's NPI number?

The NPI number for Andrea Sullivan is 1871092502. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Andrea Sullivan located?

Andrea Sullivan practices at 3024 South Il-159, Glen Carbon, IL 62034. The listed phone number is (855) 579-2158.

What is Andrea Sullivan's specialty?

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

What insurance does Andrea Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Andrea 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 Andrea Sullivan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.