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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.