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

Stacy Lynn Sullivan, DDS, MS

Individual provider Pediatric Dentistry · NPI 1598019325

Stacy Lynn Sullivan, DDS, MS is a Pediatric Dentistry in Richmond, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2012.

Licensed in
IL, MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

36600 Heritage Dr
Richmond, MI 48062-1937
Phone: (586) 727-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901021156 (MI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 319.018288 (IL)

Record details

NPI number1598019325
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedOctober 31, 2012
Last updated in NPPESOctober 9, 2014
Mailing address450 Oak Ave, Unit 303, Birmingham, MI 48009-1389

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