Individual
WILLIAM WALTER SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6810 POST RD, NORTH KINGSTOWN, RI 02852
(401) 884-1525
Mailing address
6810 POST RD, NORTH KINGSTOWN, RI 02852
(401) 884-1525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1685
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1685
DELTA DENTAL
RI
01
—
83825
BLUE CROSS BLUE SHIELD
RI
Enumeration date
05/11/2006
Last updated
04/26/2026
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