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LACEY SULLIVAN
NPI 1114412103
Dentist in Hoover, AL

Active since June 22, 2018PECOS Enrolled
1015 BROCKS GAP PKWY, HOOVER, AL 35244(205) 982-0112 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Jun 22, 2018 (2 updates tracked since 2018).

About Lacey Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY SULLIVAN (NPI 1114412103) is an individual dentist in Hoover, Alabama, licensed in Alabama (6510) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114412103
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLACEY SULLIVAN
Location Address1015 BROCKS GAP PKWYHoover, AL 35244-4032
Mailing Address1015 Brocks Gap PkwyHoover, AL 35244-4032 · (205) 982-0112
Phone(205) 982-0112
Sole ProprietorNo
Enumeration DateJune 22, 2018
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1114412103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · 6510
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1015 BROCKS GAP PKWY, Hoover, AL 35244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHUR ALVIN JONES IV D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112
DR. LAUREN ELIZABETH DENSON D.M.D.
Dentist
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (615) 330-7417
BROCKS GAP DENTAL GROUP, LLC
Clinic/Center (Dental)
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112
PAD ORTHO LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112
DR. DANE VICE HOVEN DMD
Dentist
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112
DR. PATRICK CONRAD NASSETTA DMD
Dentist (Pediatric Dentistry)
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112
LAUTEN JOHNSON D.M.D.
Dentist (Pediatric Dentistry)
1015 BROCKS GAP PKWY
HOOVER, AL 35244
Shelby County (205) 982-0112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Sullivan's NPI number?

The NPI number for Lacey Sullivan is 1114412103. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Lacey Sullivan located?

Lacey Sullivan practices at 1015 Brocks Gap Pkwy, Hoover, AL 35244. The listed phone number is (205) 982-0112.

What is Lacey Sullivan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lacey Sullivan enrolled in Medicare?

Yes. Lacey Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Lacey Sullivan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Lacey Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Sullivan was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.