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)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
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
Additional practice locations (2)
- 1809 Homer M Adams Pkwy Ste aAlton, IL 62002-5606Phone: (844) 219-0605
- 1200 Big Bill RdArnold, MO 63010-2117Phone: (636) 925-2129
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2018-03-17
Frequently asked questions
- What is Andrea Sullivan's NPI number?
- Andrea Sullivan's National Provider Identifier (NPI) is 1871092502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Sullivan's specialty?
- Andrea Sullivan is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Andrea Sullivan located?
- Andrea Sullivan's practice location on file with NPPES is 3024 South Il-159, Glen Carbon, IL 62034.
- What is Andrea Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Andrea Sullivan is (855) 579-2158.
- Is Andrea Sullivan's NPI active?
- Yes — Andrea Sullivan's NPI (1871092502) is active in the NPPES registry as of the last update on 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.