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Preddis Sullivan, DDS
NPI 1477616662 · General Practice Dentistry · Wichita, KS
Preddis Sullivan, DDS is a General Practice Dentistry provider in Wichita, KS (NPI 1477616662).
Provider details
- NPI number
- 1477616662
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 54500 (CA)
Specialties & taxonomies
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
1619 N Waterfront Pkwy
Wichita, KS 67206-6602
Phone: (316) 462-3354
Street-level locationGet directions
Mailing address
3620 N Crest Ct
Wichita, KS 67226-1019
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Frequently asked questions
- What is Preddis Sullivan's NPI number?
- Preddis Sullivan's National Provider Identifier (NPI) is 1477616662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Preddis Sullivan's specialty?
- Preddis Sullivan is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Preddis Sullivan located?
- Preddis Sullivan's practice location on file with NPPES is 1619 N Waterfront Pkwy, Wichita, KS 67206-6602.
- What is Preddis Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Preddis Sullivan is (316) 462-3354.
- Is Preddis Sullivan's NPI active?
- Yes — Preddis Sullivan's NPI (1477616662) is active in the NPPES registry as of the last update on 2022-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.