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Stacy Sullivan, DDS, MS

NPI 1598019325 · on the registry since 2012

Practice

Address
36600 Heritage Dr
Richmond, MI 48062
Phone
(586) 727-5500
Organisation at this address
Pradko, Gallagher & Slance, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
1223P0221X
Licence states on file
MI, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-09

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 Michigan