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DR. LAURA GRACE SULLIVAN DMD
NPI 1649409632
Dentist - Pediatric Dentistry in Saint Johns, FL

Active since July 10, 2009
1949 CR 210 W, SAINT JOHNS, FL 32259(904) 402-4409(904) 342-8113 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laura Grace Sullivan Dmd NPPES

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

DR. LAURA GRACE SULLIVAN DMD (NPI 1649409632) is an individual pediatric dentistry provider in Saint Johns, Florida, licensed in Florida (DN18660) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1649409632
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LAURA GRACE SULLIVANCredential: DMD
Location Address1949 CR 210 WSaint Johns, FL 32259-2062
Mailing Address1949 Cr 210 WSaint Johns, FL 32259 · (904) 808-4700 · Fax (904) 342-8113
Phone(904) 402-4409
Fax(904) 342-8113
Sole ProprietorNo
Enumeration DateJuly 10, 2009
Last NPPES UpdateAugust 2, 2013
✔ NPI 1649409632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN18660
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.
Also ListedDentistTaxonomy 122300000X · License DN18660 (FL)
1949 CR 210 W, Saint Johns, FL 32259
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Other Names 1

Former Name (1)Dr. Laura Grace Tucker Dmd

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 ›

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 Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1649409632. It was assigned to this individual provider in the NPPES registry on July 10, 2009. The provider is also known as Dr. Laura Grace Tucker Dmd.

Where is Laura Sullivan located?

Laura Sullivan practices at 1949 Cr 210 W, Saint Johns, FL 32259. The listed phone number is (904) 402-4409.

What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Laura 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 7 other insurers list Laura 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 Laura Sullivan was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.