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Dr. Stacy Anne Sullivan, DDS
General Practice Dentistry in Yadkinville, North Carolina
NPI 1306987631

Stacy Anne Sullivan is a General Practice Dentistry based in Yadkinville, NC and is specialized in General Practice. Stacy Anne Sullivan practices in Yadkinville, NC and has the professional credentials of DDS. The NPI Number for Stacy Anne Sullivan is 1306987631 and holds a License No. 8109 (North Carolina).

The current practice location address for Stacy Anne Sullivan is 217 E Willow St, Yadkinville, NC and can be reached out via phone at 336-849-7777.

Location: 217 E Willow St, Yadkinville, NC, 27055-0457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306987631
Provider Name
Stacy Anne Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
217 E Willow St, Yadkinville, NC, 27055-0457
Phone Number
336-849-7777
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5902245 05 NC
3404399 05 NC
institution
Provider Business Practice Location Address Details
Address
217 E Willow St
City
Yadkinville
State
North Carolina
Zip
27055-8193
Phone Number
336-849-7777
Fax Number
person
Provider Business Mailing Address Details
Address
217 E Willow St
City
Yadkinville
State
North Carolina
Zip
27055-8193
Phone Number
336-849-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8109 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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