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

Shannon Sullivan, DDS

Individual provider Dentist · NPI 1407267164

Shannon Sullivan, DDS is a Dentist in New York, New York. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
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

100 Haven Ave
New York, NY 10032-2645 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 342-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 024571 (OH)

Record details

NPI number1407267164
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 15, 2014
Last updated in NPPESSeptember 14, 2016

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