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

Matilda Daus Sullivan, DDS

Individual provider Pediatric Dentistry · NPI 1366198467

Matilda Daus Sullivan, DDS is a Pediatric Dentistry in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
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

1352 S St # C5
Philadelphia, PA 19147-1858
Phone: (267) 909-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 Island Ave Ste 2924, Philadelphia, PA 19153-2028 — (215) 492-9291

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS044472 (PA)

Record details

NPI number1366198467
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 28, 2022
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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