Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Sullivan

Individual provider Dentist · NPI 1114412103

Lacey Sullivan is a Dentist in Hoover, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018

Practice location Address checks out

1015 Brocks Gap Pkwy
Hoover, AL 35244-4032
Phone: (205) 982-0112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6510 (AL)

Record details

NPI number1114412103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2018
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address1015 Brocks Gap Pkwy, Hoover, AL 35244-4032

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