KIM LEANN SULLIVAN RDH
NPI 1891957759
Dental Hygienist in Fayetteville, AR

Active since July 01, 2008
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Leann Sullivan Rdh NPPES

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

KIM LEANN SULLIVAN RDH (NPI 1891957759) is an individual dental hygienist in Fayetteville, Arkansas, licensed in Arkansas (0752) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1891957759
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKIM LEANN SULLIVANCredential: RDH
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1100 N College AveFayetteville, AR 72703-1944 · (479) 443-4301
Sole ProprietorNo
Enumeration DateJuly 1, 2008
NPI 1891957759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in AR · 0752
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1100 N COLLEGE AVE, Fayetteville, AR 72703

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

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 Kim Sullivan's NPI number?

The NPI number for Kim Sullivan is 1891957759. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Kim Sullivan located?

Kim Sullivan practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Kim Sullivan's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kim Sullivan was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.