IndividualActive
Thomas Sullivan, DDS
NPI 1104892306 · Dentist · Ft Gordon, GA
Thomas Sullivan, DDS is a Dentist provider in Ft Gordon, GA (NPI 1104892306).
Provider details
- NPI number
- 1104892306
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 11292 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Bldg 38717 38th Street
USA Dentac
Ft Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Approximate (ZIP-level) locationGet directions
Mailing address
Nattc Navy Dental Clinic
Pensacola, FL 32508
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Thomas Sullivan's NPI number?
- Thomas Sullivan's National Provider Identifier (NPI) is 1104892306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Sullivan's specialty?
- Thomas Sullivan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Thomas Sullivan located?
- Thomas Sullivan's practice location on file with NPPES is Bldg 38717 38th Street, Ft Gordon, GA 30905-5660.
- What is Thomas Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Thomas Sullivan is (706) 787-6927.
- Is Thomas Sullivan's NPI active?
- Yes — Thomas Sullivan's NPI (1104892306) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.