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

Megan Alise Sullivan

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1790272466

Megan Alise Sullivan is a Maxillofacial Surgery in New Hyde Park, New York. Graduated from University of Texas Medical School at San Antonio in 2021, 5 years ago. Practices with White Hall Dental, PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
University of Texas Medical School at San Antonio
Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

270-05 76th Ave
New Hyde Park, NY 11040
Phone: (718) 470-7110
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 331335 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 064286 (NY)

Record details

NPI number1790272466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesDENTIST, ORAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2021 (5 years in practice)
Group practice White Hall Dental, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Hyde Park