OrganizationActive
John J Sullivan, DDS, PC
NPI 1629254859 · Dentist · Lakeside, AZ
John J Sullivan, DDS, PC is a Dentist organization in Lakeside, AZ (NPI 1629254859).
Provider details
- NPI number
- 1629254859
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- John Sullivan, DDS(928) 367-4276
- License
- 2685 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
325 W White Mountain Blvd
Lakeside, AZ 85929
Phone: (928) 367-4276
Street-level locationGet directions
Mailing address
325 W White Mountain Blvd
Lakeside, AZ 85929
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2010-04-21
Frequently asked questions
- What is John J Sullivan, DDS, PC's NPI number?
- John J Sullivan, DDS, PC's National Provider Identifier (NPI) is 1629254859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John J Sullivan, DDS, PC?
- John J Sullivan, DDS, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is John J Sullivan, DDS, PC located?
- John J Sullivan, DDS, PC's practice location on file with NPPES is 325 W White Mountain Blvd, Lakeside, AZ 85929.
- What is John J Sullivan, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for John J Sullivan, DDS, PC is (928) 367-4276.
- Who is the authorized official for John J Sullivan, DDS, PC?
- The authorized official listed on John J Sullivan, DDS, PC's NPPES record is John Sullivan, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John J Sullivan, DDS, PC's NPI active?
- Yes — John J Sullivan, DDS, PC's NPI (1629254859) is active in the NPPES registry as of the last update on 2010-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.