Individual provider · Type 1 NPI

Stacy Anne Sullivan, DDS

General Practice Dentistry · Yadkinville, NC

NPI number 1306987631 Active

Practice location

217 E Willow St
Yadkinville, NC 27055-8193

Mailing address

PO Box 457
Yadkinville, NC 27055-0457

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8109 (NC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306987631

Stacy Anne Sullivan, DDS's National Provider Identifier is 1306987631, issued on Feb 9, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Yadkinville, NC. The record was last updated on Dec 14, 2010.