Stacy Sullivan, D.D.S

NPI 1306987631 · on the registry since 2007 · sole proprietor

Practice

Address: 217 E Willow St
Yadkinville, NC 27055
Phone: (336) 849-7777
Organisation at this address: County Of Yadkin
County Of Yadkin
County Of Yadkin Office Of Treasurer
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina