OrganizationActive
Sullivan Family Dentistry, LLC
NPI 1871996199 · General Practice Dentistry · Sullivan, IN
Provider details
- NPI number
- 1871996199
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gregg Smith, Senior Partner Owner(812) 268-4010
- License
- 12007736A (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2186 N Hospital Blvd., Suite 1
Sullivan, IN 47882-0468
Phone: (812) 268-4010
Fax: (812) 268-5607
Street-level locationGet directions
Mailing address
Po Box 468
Sullivan, IN 47882-0468
Registry dates
- Enumerated
- 2014-10-01
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.