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

Dr. Ryan Joel Sullivan, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669733424

Dr. Ryan Joel Sullivan, DMD is a Student in an Organized Health Care Education/Training Program in Blasdell, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4154 McKinley Pkwy
Blasdell, NY 14219-2995
Phone: (716) 649-2288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 056760 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669733424
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESMay 11, 2016
Mailing address3176 Abbott Rd, Orchard Park, NY 14127-1069

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