Doctor profile · Federal record
Dr. Lacey Sullivan
Dentist · Hoover, AL
- NPI 1114412103
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1015 Brocks Gap Pkwy
Hoover, AL 352444032
(205) 982-0112
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114412103. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $19.26 |
By nature of payment
Frequently asked questions
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.