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CODY LEE SULLIVAN DDS
NPI 1942795877
Dentist in Camp Pendleton, CA

Active since June 23, 2018
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055(760) 725-3417 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2025, Aug 15, 2024, Jun 23, 2018 (3 updates tracked since 2018).

About Cody Lee Sullivan Dds NPPES

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

CODY LEE SULLIVAN DDS (NPI 1942795877) is an individual dentist in Camp Pendleton, California, licensed in Missouri (2018021980) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1942795877
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCODY LEE SULLIVANCredential: DDS
Location Address200 MERCY CIRCLECamp Pendleton, CA 92055-5191
Mailing Address200 Mercy CircleCamp Pendleton, CA 92005 · (760) 725-3879
Phone(760) 725-3417
Sole ProprietorNo
Enumeration DateJune 23, 2018
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1942795877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2018021980✔ Licensed in VA · 0401418537
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.
200 MERCY CIRCLE, Camp Pendleton, CA 92055
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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.

MARIA J HERRERA PH.D.
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (510) 542-0859
SHERRI MARTINEZ LMFT, ADCII
Counselor (Addiction (Substance Use Disorder))
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-0063
DR. ASHLEY BITTLE LCSW, PSY.D.
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3322
MISS KELLY CAROL PENG D.O
Military Health Care Provider
200 MERCY CIRCLE, EMERGENCY MEDICINE DEPARTMENT
OCEANSIDE, CA 92055
San Diego County (760) 719-3994
CAROLYN STEINLAGE DPT
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3791
SHANE MCGUIRE FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-8912
MELINDA WEE FAH MARTINEZ PA
Physician Assistant
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-4550
ALEXANDER JEFFREY NELSON PA-C
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288

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 Cody Sullivan's NPI number?

The NPI number for Cody Sullivan is 1942795877. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Cody Sullivan located?

Cody Sullivan practices at 200 Mercy Circle, Camp Pendleton, CA 92055. The listed phone number is (760) 725-3417.

What is Cody 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 Cody Sullivan was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.