Mark P. Sullivan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022097-L Issued in PA

Practice address

1440 South Pottstown Pike
West Chester, PA 19380-1271

Phone

(610) 436-4088

Fax

(610) 436-0679

NPI assigned

Jun 27, 2005

Reactivated

Mar 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark P. Sullivan, D.D.S., P.C.L.L.C.

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1205926763
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710983432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 SOUTH POTTSTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801271",
            "telephone_number": "610-436-4088",
            "fax_number": "610-436-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 SOUTH POTTSTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801271",
            "telephone_number": "610-436-4088",
            "fax_number": "610-436-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022097-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Sturgill, OTR/L
• Sarah Sturm
• Revathi Subramony, RPH CIP
• Mark S Sugarman
• Arthur Peter Sulaiman
• Patricia Sullivan, OT
• Eva E Sum, M.D.
• Siena Xiaole Sun, PHD, SLP-CCC
• Jane Sunoo, MD
• John Joseph Supczenski, D.D.S.

• General Practice Dentistry in West Chester, PA
• Providers in West Chester, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.