IndividualActive
Andrea Sullivan, DMD
NPI 1871092502 · General Practice Dentistry · Glen Carbon, IL
Andrea Sullivan, DMD is a General Practice Dentistry provider in Glen Carbon, IL (NPI 1871092502).
Provider details
- NPI number
- 1871092502
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 2018003588 (MO)
Practice location
3024 South Il-159
Glen Carbon, IL 62034
Phone: (855) 579-2158
Approximate (ZIP-level) locationGet directions
Mailing address
902 Monterey Dr
O Fallon, IL 62269-2833
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.