What is Larry Sullivan's NPI number?

Larry Sullivan's National Provider Identifier (NPI) is 1003986928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Sullivan's specialty?

Larry Sullivan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Larry Sullivan located?

Larry Sullivan's practice location on file with NPPES is 45 Hazel St, Willits, CA 95490-4222.

What is Larry Sullivan's phone number?

The practice phone number listed in the NPPES registry for Larry Sullivan is (707) 456-9700.

Is Larry Sullivan's NPI active?

Yes — Larry Sullivan's NPI (1003986928) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Larry Sullivan, DDS

NPI 1003986928 · Dentist · Willits, CA

Larry Sullivan, DDS is a Dentist provider in Willits, CA (NPI 1003986928).

Provider details

NPI number: 1003986928
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 18646 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 18646 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

45 Hazel St

Willits, CA 95490-4222

Phone: (707) 456-9700

Fax: (707) 456-9585

Street-level locationGet directions

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Mailing address