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Stacy Lynn Sullivan, DDS,MS
Pediatric Dentist in Richmond, Michigan
NPI 1598019325

Stacy Lynn Sullivan is a Pediatric Dentist based in Birmingham, MI and is specialized in Pediatric Dentistry. Stacy Lynn Sullivan practices in Richmond, MI and has the professional credentials of DDS,MS. The NPI Number for Stacy Lynn Sullivan is 1598019325 and holds a License No. 2901021156 (Michigan).

The current practice location address for Stacy Lynn Sullivan is 36600 Heritage Dr, Richmond, MI and can be reached out via phone at 586-727-5500.

Location: 36600 Heritage Dr, Richmond, MI, 48009-1389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598019325
Provider Name
Stacy Lynn Sullivan
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
36600 Heritage Dr, Richmond, MI, 48009-1389
Phone Number
586-727-5500
Fax Number
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
36600 Heritage Dr
City
Richmond
State
Michigan
Zip
48062-1937
Phone Number
586-727-5500
Fax Number
person
Provider Business Mailing Address Details
Address
36600 Heritage Dr
City
Richmond
State
Michigan
Zip
48062-1937
Phone Number
586-727-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901021156 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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