Doctor profile · Federal record

Dr. Lacey Sullivan

Dentist · Hoover, AL

  • NPI 1114412103
  • 8 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1015 Brocks Gap Pkwy
Hoover, AL 352444032
(205) 982-0112

Credentials & registration

NPPES · NUCC
NPI registered
June 2018 — 8 yrs on file
Profile last updated
April 8, 2024
Specialty taxonomy
122300000X — NUCC code
State license (1)
Alabama #6510

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114412103. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$19
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 1 $19.26

By nature of payment

Food and Beverage
$19

Frequently asked questions

Auto-generated from federal data
What is Dr. Lacey Sullivan's medical specialty?
Dr. Lacey Sullivan practices Dentist in Hoover, AL.
Where does Dr. Lacey Sullivan practice?
Dr. Lacey Sullivan practices at 1015 Brocks Gap Pkwy, Hoover, AL 352444032. Office phone: 2059820112.
What is Dr. Lacey Sullivan's NPI?
Dr. Lacey Sullivan's National Provider Identifier (NPI) is 1114412103, issued by NPPES.