Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURA GRACE SULLIVAN, DMD
ActiveDR. LAURA GRACE SULLIVAN, DMD is a Pediatric Dentistry healthcare provider located in SAINT JOHNS, Florida. NPI 1649409632 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SAINT JOHNS, FL
Registration Details
- NPI Number
- 1649409632
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2009 (17.126830388645 yrs)
- Last Updated
- Aug 2, 2013
- Licenses
-
DN18660 (FL)DN18660 (FL)
Practice Information
- Address
-
1949 CR 210 WSAINT JOHNS, FL, 322592062Browse FL providers · Browse ZIP 32259
- Phone
- 9044024409
- Fax
- 9043428113
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in SAINT JOHNS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW BRIGHT | D.M.D. | 1356755474 |
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.