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

Joseph Vincent Sullivan, DDS

Individual provider General Practice Dentistry · NPI 1104107903

Joseph Vincent Sullivan, DDS is a General Practice Dentistry in Omaha, Nebraska. Licensed in Nebraska and Washington. Registered with an NPI since 2011.

Licensed in
NE, WA
In the registry since
2011
Specialties on file
2
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

2109 Cuming St
Omaha, NE 68102-4325
Phone: (406) 250-7093
Fax: (406) 250-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7685 (NE)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE60232759 (WA)

Record details

NPI number1104107903
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 7, 2011
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 11, 2023
Mailing address2109 Cuming St, Omaha, NE 68102-4325

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