Dr Scott Louis Sullivan, DDS - Dentist in Santa Rosa, CA

Dr Scott Louis Sullivan, DDS is a Dentist - General Practice based in Santa Rosa, California. Dr Scott Louis Sullivan is licensed to practice in California (license number 44095) and his current practice location is 76 Doctors Park Dr., Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 546-6367.

NPI number for Dr Scott Louis Sullivan is 1063612844 and his current mailing address is 76 Doctors Park Dr., Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063612844.

Contact Information

Dr Scott Louis Sullivan, DDS
76 Doctors Park Dr.,
Santa Rosa, CA 95405-6615
(707) 546-6367
(707) 542-7829



Healthcare Provider's Profile

Full NameDr Scott Louis Sullivan
GenderMale
SpecialityDentist - General Practice
Location76 Doctors Park Dr., Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063612844
  • Provider Enumeration Date: 07/20/2007
  • Last Update Date: 07/20/2007

Medical Identifiers

Medical identifiers for Dr Scott Louis Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063612844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 44095 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Scott Louis Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Scott Louis Sullivan, DDS
76 Doctors Park Dr.,
Santa Rosa, CA 95405

Ph: (707) 546-6367
Dr Scott Louis Sullivan, DDS
76 Doctors Park Dr.,
Santa Rosa, CA 95405-6615

Ph: (707) 546-6367

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› Verified 6 days ago


Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403
Phone: 707-579-2808    
Dr. Simone Winkler Downs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405
Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405
Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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