Stacy Lynn Sullivan is a Richmond, Michigan based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stacy Lynn Sullivan is
2901021156 for Pediatric Dentistry in Michigan. Her current practice location is
36600 Heritage Dr, Richmond. Patients can reach her at
586-727-5500.
Stacy Lynn Sullivan provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Stacy Lynn Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Stacy Lynn Sullivan |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS, MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 36600 Heritage Dr, Richmond,
Michigan, 48062-1937 |
| Phone: | 586-727-5500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1598019325 |
| NPI Enumeration Date: | 31 Oct, 2012 |
| NPI Last Update On: | 09 Oct, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Lynn Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| 2901021156 | Pediatric Dentistry | Michigan | Primary | |
| 319.018288 | Pediatric Dentistry | Illinois | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 450 Oak Ave, Unit 303
Birmingham, Michigan |
| Zip: | 48009-1389 |
| Phone Number: | 734-945-7435 |
Patients can reach Stacy Lynn Sullivan at
36600 Heritage Dr, Richmond, Michigan or can
call to book an appointment on 586-727-5500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.