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KYLE SULLIVAN DMD
NPI 1962558106
Dentist - General Practice in Walla Walla, WA

Active since January 27, 2007
121 W POPLAR ST, STE A, WALLA WALLA, WA 99362(509) 525-3522 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Sullivan Dmd NPPES

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

KYLE SULLIVAN DMD (NPI 1962558106) is an individual general practice provider in Walla Walla, Washington, licensed in Utah (5366921-9922) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1962558106
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE SULLIVANCredential: DMD
Location Address121 W POPLAR ST, STE AWalla Walla, WA 99362-2871
Mailing Address121 W Poplar St, Ste AWalla Walla, WA 99362-2871 · (509) 525-3522
Phone(509) 525-3522
Sole ProprietorYes
Enumeration DateJanuary 27, 2007
Last NPPES UpdateApril 6, 2011
✔ NPI 1962558106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in UT · 5366921-9922✔ Licensed in WA · DE60083262
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.
121 W POPLAR ST, Walla Walla, WA 99362
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Other Identifiers 1

Other45-0951861WA · Tin

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 Montana and more.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.

RANDOLPH C PEARSON D.D.S.
Dentist (General Practice)
121 W POPLAR ST, STE C
WALLA WALLA, WA 99362
Walla Walla County (509) 525-2850

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 Kyle Sullivan's NPI number?

The NPI number for Kyle Sullivan is 1962558106. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Kyle Sullivan located?

Kyle Sullivan practices at 121 W Poplar St Ste A, Walla Walla, WA 99362. The listed phone number is (509) 525-3522.

What is Kyle Sullivan's specialty?

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

What insurance does Kyle Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kyle 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 Kyle Sullivan was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.