Kyle Sullivan is a Walla Walla, Washington based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kyle Sullivan is 5366921-9922 for General Practice Dentistry in Utah. His current practice location is 121 W Poplar St, Ste A, Walla Walla. Patients can reach him at 509-525-3522.
Kyle Sullivan is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kyle Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kyle Sullivan
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
121 W Poplar St, Ste A, Walla Walla, Washington, 99362-2871
Phone:
509-525-3522
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1962558106
NPI Enumeration Date:
27 Jan, 2007
NPI Last Update On:
06 Apr, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyle Sullivan are as mentioned below.
License Number
Specialization
State
Status
5366921-9922
General Practice Dentistry
Utah
Primary
DE60083262
General Practice Dentistry
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
121 W Poplar St, Ste A Walla Walla, Washington
Zip:
99362-2871
Phone Number:
509-525-3522
Patients can reach Kyle Sullivan at 121 W Poplar St, Ste A, Walla Walla, Washington or can call to book an appointment on 509-525-3522. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.