Scott R Sullivan, DDS, MD
Scott R Sullivan is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Springfield, MO, registered in the NPPES registry with NPI 1972134567 since 2020. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972134567 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Scott R Sullivan |
| Credential | DDS, MD |
| Sex | Male |
| Practice address | 1103 E MONTCLAIR ST, Springfield, MO, 65807 |
| Phone | 3166168157 |
| Enumeration date | 2020-02-01 |
| Last updated in NPPES | 2026-02-18 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 2025018574 | MO |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Scott Sullivan, DDS, MD NPI: 1972134567 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: 1103 E MONTCLAIR ST, Springfield, MO, 65807
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417942426 | James Gipson | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1720073703 | George Arquitt | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1831184423 | Thomas Collins | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1144215740 | Steven Quinn | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1861437055 | Christopher Meyer | Individual | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1942337001 | Oral Anesthesia Group Inc | Organization | Anesthesiology Physician | Springfield, MO |
| 1801091657 | Gipson, Arquitt, Meyer and Shaner DDS, PC | Organization | Oral and Maxillofacial Surgery (Dentist) | Springfield, MO |
| 1285892380 | Tracy Beckham | Individual | Certified Registered Nurse Anesthetist | Springfield, MO |
Verify this record
Cross-check NPI 1972134567 against the authoritative CMS record: view Scott R Sullivan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-18.