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Robert Joseph O'Sullivan, DDS

NPI 1295464220ActiveIndividual· Dentist, General Practice· Nome, AK

Dentist, General Practice (DDS) in Nome, Alaska, licensed in IL, MT and WI, with an NPI issued in June 2022.

Overview

NPI1295464220
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedJun 6, 2022
Last updated in NPPESAug 3, 2022
Certified by providerJul 26, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X019.033694IL
Dentist, General Practice1223G0001XDEN-DEN-LIC-23667MT
Dentist, General Practice1223G0001X6001012-15WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Nome

All general dentists in Alaska