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

Dr. Scott Louis Sullivan, DDS

Individual provider General Practice Dentistry · NPI 1063612844

Dr. Scott Louis Sullivan, DDS is a General Practice Dentistry in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

76 Doctors Park Dr
Santa Rosa, CA 95405-6615
Phone: (707) 546-6367
Fax: (707) 542-7829
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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 44095 (CA)

Record details

NPI number1063612844
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 20, 2007
Last updated in NPPESJuly 20, 2007

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