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DR. STACY ANNE SULLIVAN D.D.S.
NPI 1306987631
Dentist - General Practice in Yadkinville, NC

Active since February 09, 2007
217 E WILLOW ST, YADKINVILLE, NC 27055(336) 849-7777 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Anne Sullivan D.d.s. NPPES

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

DR. STACY ANNE SULLIVAN D.D.S. (NPI 1306987631) is an individual general practice provider in Yadkinville, North Carolina, licensed in North Carolina (8109) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306987631
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STACY ANNE SULLIVANCredential: D.D.S.
Location Address217 E WILLOW STYadkinville, NC 27055-8193
Mailing AddressPo Box 457Yadkinville, NC 27055-0457 · (336) 849-7777
Phone(336) 849-7777
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 14, 2010
✔ NPI 1306987631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 8109
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.
217 E WILLOW ST, Yadkinville, NC 27055
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Other Identifiers 2

Medicaid5902245NC
Medicaid3404399NC

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

MRS. DEBORAH K DENNIS APRN BC FNP
Nurse Practitioner (Women's Health)
217 E WILLOW ST
YADKINVILLE, NC 27055
Yadkin County (336) 679-4203
MRS. SHONDA H SMITHERMAN RN FNP
Nurse Practitioner (Obstetrics & Gynecology)
217 E WILLOW ST
YADKINVILLE, NC 27055
Yadkin County (336) 679-4203
COUNTY OF YADKIN OFFICE OF TREASURER
Clinic/Center (Public Health, State or Local)
217 E WILLOW ST
YADKINVILLE, NC 27055
Yadkin County (336) 679-4203
COUNTY OF YADKIN
Case Management
217 E WILLOW ST
YADKINVILLE, NC 27055
Yadkin County (336) 679-4203

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 Stacy Sullivan's NPI number?

The NPI number for Stacy Sullivan is 1306987631. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Stacy Sullivan located?

Stacy Sullivan practices at 217 E Willow St, Yadkinville, NC 27055. The listed phone number is (336) 849-7777.

What is Stacy Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stacy Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stacy 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 Stacy Sullivan was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.