Individual provider · Type 1 NPI
Candice Richter Sullivan, DDS
Pediatric Dentistry · St. Francisville, LA
NPI number
1700079894
Active
Practice location
5436 Commerce
St. Francisville, LA 70775
Fax (225) 635-2171
Mailing address
PO Box 2880
St. Francisville, LA 70775-2880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 4988 (LA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1700079894
Candice Richter Sullivan, DDS's National Provider Identifier is 1700079894, issued on Aug 22, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Francisville, LA. The record was last updated on Aug 22, 2007.