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Candice Richter Sullivan, DDS
Pediatric Dentist in St Francisville, Louisiana
NPI 1700079894

Candice Richter Sullivan is a Pediatric Dentist based in Saint Francisville, LA and is specialized in Pediatric Dentistry. Candice Richter Sullivan practices in St Francisville, LA and has the professional credentials of DDS. The NPI Number for Candice Richter Sullivan is 1700079894 and holds a License No. 4988 (Louisiana).

The current practice location address for Candice Richter Sullivan is 5436 Commerce, St Francisville, LA and can be reached out via phone at 225-635-4422 and via fax at 225-635-2171.

Location: 5436 Commerce, St Francisville, LA, 70775-2880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700079894
Provider Name
Candice Richter Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5436 Commerce, St Francisville, LA, 70775-2880
Phone Number
225-635-4422
Fax Number
225-635-2171
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5436 Commerce
City
St Francisville
State
Louisiana
Zip
70775
Phone Number
225-635-4422
Fax Number
225-635-2171
person
Provider Business Mailing Address Details
Address
5436 Commerce
City
St Francisville
State
Louisiana
Zip
70775
Phone Number
225-635-4422
Fax Number
225-635-2171
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4988 (Louisiana)
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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