Active NPI
Lynn Sullivan
- Dental Assistant
- Guthrie, OK
National Provider Identifier
1740164029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- DA11499
- Practice address
- 2851 S Midwest Blvd
Guthrie, OK 73044-7159 - Phone
- (405) 802-1312
- NPI assigned
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | DA11499 | OK | Primary |
Addresses
Primary practice location
2851 S Midwest Blvd
Guthrie, OK 73044-7159
Mailing address
2851 S Midwest Blvd
Guthrie, OK 73044-7159
Phone (405) 802-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA11499 | OK | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1740164029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 S MIDWEST BLVD",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730447159",
"telephone_number": "405-802-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 S MIDWEST BLVD",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730447159",
"telephone_number": "405-802-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "OK",
"license": "DA11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.