John J Sullivan, DDS, PC
John J Sullivan, DDS, PC is a healthcare organization registered as Dentist in Lakeside, AZ, holding Type 2 (organization) NPI 1629254859 since 2008. The authorized official on file is John Sullivan, DDS.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629254859 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John J Sullivan, DDS, PC |
| Practice address | 325 W WHITE MOUNTAIN BLVD, Lakeside, AZ, 85929 |
| Phone | 9283674276 |
| Enumeration date | 2008-01-17 |
| Last updated in NPPES | 2010-04-21 |
Authorized official
| Name | John Sullivan |
|---|---|
| Title | DDS |
| Phone | 9283674276 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 2685 | AZ |
Copy-ready billing details
Provider: John J Sullivan, DDS, PC NPI: 1629254859 Taxonomy: 122300000X (Dentist) Address: 325 W WHITE MOUNTAIN BLVD, Lakeside, AZ, 85929
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457412306 | John Sullivan | Individual | General Practice Dentistry | Lakeside, AZ |
Verify this record
Cross-check NPI 1629254859 against the authoritative CMS record: view John J Sullivan, DDS, PC 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
What type of organization is John J Sullivan, DDS, PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-04-21.