NPPES file of Aug 9, 2026

Jerry L. Sullivan, DDS

General Practice Dentistry · Kingman, AZ

Jerry L. Sullivan, DDS is a general practice dentistry with a practice address in Kingman, Arizona, and NPI 1093929044, issued on May 9, 2007. Check the license (Arizona 3296, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093929044
Name
Jerry L. Sullivan
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
3296 AZ
Self-reported in NPPES; status is on the state search
Practice location
411 Grandview Ave, Kingman, AZ 86401
Phone
(928) 753-6611
Enumerated
May 9, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(928) 753-1288
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest general practice dentistry records → All 2,482 in Arizona → Look up another NPI →

Verify Jerry L. Sullivan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 3296    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

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30% fewer Medicare Part D claims than the average general practice dentistry in 2024

58 Medicare Part D claims for 33 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Jerry Sullivan58
  2. Specialty average83

Most prescribed

  1. Azithromycin15 claims
  2. Penicillin V Potassium13 claims
  3. Cephalexin12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Jerry L. Sullivan among 2,482 general practice dentistry records in Arizona

Jerry L. Sullivan, DDS is one of 2,482 general practice dentistry records with a practice address in Arizona. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.

  • NPI issued2007 · 35% of these records are older, 43% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileNo · 1% of these records are
  • Record last updated2007 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

15 general practice dentistry records list a practice address in Kingman

They are 15 of the 741 NPPES records with a practice address in Kingman, and 2,482 general practice dentistry records in Arizona.

All 2,482 in Arizona → Every provider in Kingman → General Practice Dentistry nationwide →

The 8 general practice dentistry records with the nearest ZIP codes

  1. Hae Young Lee, D.D.SKingman, AZ 864011770835316
  2. Charles Lucero, DDSKingman, AZ 864011710988787
  3. Timothy MangelsdorfKingman, AZ 864011619924669
  4. James Ransdell, DDSKingman, AZ 864011356386676
  5. Nathaniel Urquhart, DMDKingman, AZ 864011760427967
  6. Edward Ahn, DDSLake Havasu City, AZ 864031700956562
  7. Julia Carlson, D.D.S.Lake Havasu City, AZ 864031497818652
  8. Richard Coburn, DMDLake Havasu City, AZ 864031699931691

Common questions

What is Jerry L. Sullivan, DDS's NPI number?

Jerry L. Sullivan, DDS's National Provider Identifier (NPI) is 1093929044, issued on May 9, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Jerry L. Sullivan, DDS located?

The NPPES record lists a practice address at 411 Grandview Ave, Kingman, AZ, 86401. Phone: (928) 753-6611. Providers update this record themselves, so call before visiting.

How can I verify Jerry L. Sullivan, DDS's license?

NPPES lists Arizona license number 3296, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

How much does Jerry L. Sullivan, DDS prescribe under Medicare Part D?

In 2024, Jerry L. Sullivan, DDS had 58 Medicare Part D claims for 33 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.