P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Angela Sullivan, DMD, MS

Dentist·Midland, TX· NPI 1871693705 · Enumerated 2006 · 19 years on NPI
Sullivan is 1 of 16 dentist providers in Midland and 1 of 1850 in Texas.
NPI age
19 years
Enumerated 2006-09-22
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX, KY, IN
3 states
Status
Active
No deactivations on record
Last NPPES update
2015-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
3200 Andrews Hwy, Suite 400
Midland, TX 797013896
📞 4322187926
Mailing address
3200 Andrews Hwy, Suite 400
Midland, TX 797013896
📞 4322187926

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    TX license #31170KY license #8160IN license #12011561A taxonomy 1223X0400X

Identifiers

TypeValueNotes
05 (KY) 9177836
05 (KY) 60003134
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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