Doctor profile · Federal record
Dr. Kyle Sullivan, DMD
General Practice Dentistry · General Practice Dentistry · Walla Walla, WA
- NPI 1962558106
- 19 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
121 W Poplar St, Ste A
Walla Walla, WA 993622871
(509) 525-3522
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- April 6, 2011
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Utah #5366921-9922 · Washington #DE60083262
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962558106. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$57
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $57.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
38
Patients
23
Total drug cost
$239
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 15 | 12 | $45 |
| Penicillin V Potassium | Generic | 12 | 0 | $79 |
| Clindamycin Hcl | Generic | 11 | 11 | $114 |
Frequently asked questions
What is Dr. Kyle Sullivan's medical specialty?
Dr. Kyle Sullivan practices General Practice Dentistry in Walla Walla, WA.
Where does Dr. Kyle Sullivan practice?
Dr. Kyle Sullivan practices at 121 W Poplar St, Walla Walla, WA 993622871. Office phone: 5095253522.
What is Dr. Kyle Sullivan's NPI?
Dr. Kyle Sullivan's National Provider Identifier (NPI) is 1962558106, issued by NPPES.