| Stacy Lynn Sullivan, DDS, MS | |
|
36600 Heritage Dr, Richmond, MI 48062-1937 | |
| (586) 727-5500 | |
| Not Available |
| Full Name | Stacy Lynn Sullivan |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 36600 Heritage Dr, Richmond, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598019325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901021156 (Michigan) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 319.018288 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lynn Sullivan, DDS, MS 450 Oak Ave, Unit 303, Birmingham, MI 48009-1389 Ph: (734) 945-7435 | Stacy Lynn Sullivan, DDS, MS 36600 Heritage Dr, Richmond, MI 48062-1937 Ph: (586) 727-5500 |
Zena Alsaraf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 67184 Gratiot Ave, Richmond, MI 48062 Phone: 586-727-5898 | |
Dr. Tess Marie Finley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 67640 S Main St, Richmond, MI 48062 Phone: 586-727-7531 | |
Dr. Brian J. Pradko, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 36600 Heritage Dr., Richmond, MI 48062 Phone: 586-727-3815 Fax: 586-727-3950 | |
Dr. Irum Waheed, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 69089 N Main St, Richmond, MI 48062 Phone: 586-727-5898 Fax: 586-727-8429 | |
Fadi Abshara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 69089 N Main St, Richmond, MI 48062 Phone: 586-727-5898 | |
Dr. Robert K. Wesley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 36590 Heritage Dr, Richmond, MI 48062 Phone: 586-727-3838 Fax: 586-727-3833 | |
Dr. Yoomin Ahn Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36602 Heritage Dr, Richmond, MI 48062 Phone: 586-727-5500 |