Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY LYNN SULLIVAN, DDS, MS
ActiveSTACY LYNN SULLIVAN, DDS, MS is a Pediatric Dentistry healthcare provider located in RICHMOND, Michigan. NPI 1598019325 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · RICHMOND, MI
Registration Details
- NPI Number
- 1598019325
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2012 (13.814803904226 yrs)
- Last Updated
- Oct 9, 2014
- Licenses
-
2901021156 (MI)319.018288 (IL)
Practice Information
- Address
-
36600 HERITAGE DRRICHMOND, MI, 480621937Browse MI providers · Browse ZIP 48062
- Phone
- 5867275500
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in RICHMOND, MI
| Name | Credential | NPI |
|---|---|---|
| DR. YOOMIN AHN KIM | DDS | 1124567292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.