Stacy Anne Sullivan in Yadkinville - General Practice
Stacy Anne Sullivan - NPI 1306987631
Stacy Anne Sullivan is a General Practice in Yadkinville, North Carolina. Stacy Anne Sullivan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stacy Anne Sullivan is 1306987631. The last update date is 2010-12-14.
Stacy Anne Sullivan's current location address is Po Box 457, Yadkinville, North Carolina. You can contact this provider via phone number 3368497777. The mailing address for Stacy Anne Sullivan is Po Box 457, Yadkinville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Anne Sullivan |
|---|---|
| Address | Po Box 457, Yadkinville, North Carolina |
| Phone Number | 3368497777 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1306987631 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2010-12-14 |
Provider Mailing Address Detail
| Address | Po Box 457 |
|---|---|
| City | Yadkinville |
| State | North Carolina (NC) |
| Post Code | 270550457 |
| Phone Number | 3368497777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8109 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5902245 | NC | -- | |
| 3404399 | NC | -- |
Post Comment/ Review Below
What is the Stacy Anne Sullivan's 1306987631?
The Stacy Anne Sullivan's NPI (National Provider Identifier) Number is 1306987631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stacy Anne Sullivan is located?
The Stacy Anne Sullivan is situated at the following address: Po Box 457, Yadkinville, NC, 270550457.
What is the Stacy Anne Sullivan's area of specialization and corresponding taxonomy classification?
The Stacy Anne Sullivan's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306987631 to Stacy Anne Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1306987631 to Stacy Anne Sullivan on 2007-02-09.
As of what date was the information regarding Stacy Anne Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy Anne Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-14.