Candice Richter Sullivan, DDS is a
Dentist - Pediatric Dentistry based in St Francisville, Louisiana. Candice Richter Sullivan is licensed to practice in Louisiana (license number 4988) and her current practice location is
5436 Commerce, St Francisville, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 635-4422.
NPI number for Candice Richter Sullivan is 1700079894 and her current mailing address is Po Box 2880, Saint Francisville, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700079894.
Healthcare Provider's Profile
Full Name | Candice Richter Sullivan |
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Gender | Female |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 5436 Commerce, St Francisville, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700079894
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 08/22/2007
Medical Identifiers
Medical identifiers for Candice Richter Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700079894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | 4988 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Richter Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Candice Richter Sullivan, DDS Po Box 2880, Saint Francisville, LA 70775-2880 Ph: (225) 635-4422 | Candice Richter Sullivan, DDS 5436 Commerce, St Francisville, LA 70775 Ph: (225) 635-4422 |
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