MATTHIEU SULLIVAN DDS CORP NPI 1376431346

NPI Information

  • NPI: 1376431346
  • Provider Name: MATTHIEU SULLIVAN DDS CORP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 8540 S SEPULVEDA BLVD STE 800
    LOS ANGELES, CA
    ZIP 90045
  • Phone: (310) 670-1200

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NPI Details

MATTHIEU SULLIVAN DDS CORP is a dental clinic center in Los Angeles, CA. MATTHIEU SULLIVAN DDS CORP NPI is 1376431346. The provider is registered as an organization entity type.

The provider's business location address is:

8540 S SEPULVEDA BLVD STE 800
LOS ANGELES, CA
ZIP 90045-828
Phone: (310) 670-1200

The provider's authorized official is Matthieu Sullivan .
The authorized official title is President and has the following contact phone number (918) 850-1850.

The enumeration date for this NPI number is 6/26/2025 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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