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

Kyle Sullivan, DMD

Individual provider General Practice Dentistry · NPI 1962558106

Kyle Sullivan, DMD is a General Practice Dentistry in Walla Walla, Washington. Practices as a sole proprietor. Licensed in Utah and Washington.

Licensed in
UT, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

121 W Poplar St Ste A
Walla Walla, WA 99362-2871
Phone: (509) 525-3522
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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 5366921-9922 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE60083262 (WA)

Record details

NPI number1962558106
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESApril 6, 2011

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