Candice Richter Sulliva in Saint Francisville - Pediatric Dentistry
Candice Richter Sulliva - NPI 1700079894
Candice Richter Sulliva is a Pediatric Dentistry in Saint Francisville, Louisiana. Candice Richter Sulliva practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Candice Richter Sulliva is 1700079894. The last update date is 2007-08-22.
Candice Richter Sulliva's current location address is Po Box 2880, Saint Francisville, Louisiana. You can contact this provider via phone number 2256354422 and fax number 2256352171. The mailing address for Candice Richter Sulliva is Po Box 2880, Saint Francisville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Richter Sulliva |
|---|---|
| Address | Po Box 2880, Saint Francisville, Louisiana |
| Phone Number | 2256354422 |
| Fax Number | 2256352171 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700079894 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2880 |
|---|---|
| City | Saint Francisville |
| State | Louisiana (LA) |
| Post Code | 707752880 |
| Phone Number | 2256354422 |
| Fax Number | 2256352171 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4988 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Candice Richter Sulliva by the Centers for Medicare & Medicaid Services?
The Candice Richter Sulliva has been issued the NPI (National Provider Identifier) 1700079894, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Candice Richter Sulliva located?
The Candice Richter Sulliva is located at Po Box 2880, Saint Francisville, LA 707752880.
What is Candice Richter Sulliva's area of expertise and its corresponding taxonomy classification?
The Candice Richter Sulliva's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700079894 to Candice Richter Sulliva?
The Centers for Medicare & Medicaid Services originally issued the 1700079894 to Candice Richter Sulliva on 2007-08-22.
When was the information related to Candice Richter Sulliva most recently updated or refreshed?
The details pertaining to the Candice Richter Sulliva, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY