Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Preddis Leroy Sullivan, DDS

Individual provider General Practice Dentistry · NPI 1477616662

Dr. Preddis Leroy Sullivan, DDS is a General Practice Dentistry in Wichita, Kansas. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1619 N Waterfront Pkwy
Wichita, KS 67206-6602
Phone: (316) 462-3354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 54500 (CA)

Record details

NPI number1477616662
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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