DR. STEPHANIE SULLIVAN TULLOS (NPI# 1063683472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063683472 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE SULLIVAN TULLOS |
| Credential | DMD |
| Practice Address |
276 Magnolia Dr Raleigh MS 39153-6016 |
| Practice Telephone | 6017829909 |
| Practice Fax Number | 6017829133 |
| Mailing Telephone | 6017829909 |
| Mailing Fax Number | 6017829133 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3265-03 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00077253 | 05 |
| Street Address |
276 MAGNOLIA DR |
| City | RALEIGH |
| State | MS |
| Zip Code | 39153-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467519827 | Tullos Family Dentistry, Pa | Dentist | 276 Magnolia Dr, Raleigh, MS 39153-6016 | 2007-01-03 |
| 1235624966 | Chauncey Lauren Craft | Dentist | 276 Magnolia Dr, Raleigh, MS 39153-6016 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780936740 | Heather Celeste Burt Jordan | Occupational Therapist | 309 Magnolia Road, Rolling Acres Retirement, Raleigh, MS 39153 | 2012-10-15 |
| 1831484609 | Lane Napier Baxter | Dentist | 226 Highway 18 West, Raleigh, MS 39153 | 2011-06-09 |
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1386705705 | Phil Thompson | Family Medicine | 342 Magnolia Drive, Raleigh, MS 39153 | 2006-12-12 |
| 1962599696 | Bobby D Maddox | Dentist | 207 Sylvarena Ave., Raleigh, MS 39153 | 2006-10-06 |
| 1679660492 | Raleigh Dental Clinic | Dentist | 207 Sylvarena Ave, Raleigh, MS 39153 | 2006-10-05 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1285967653 | Guardian Angel Healthcare Inc., II | Psychiatric Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2009-09-16 |
| 1588853154 | Family Health Care Clinic, Inc. | Clinic/Center | 226 Whiteoak Ave, Raleigh, MS 39153 | 2007-10-19 |
| Find all providers in zip 39153 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| 1831732288 | Tabitha Mohammed | Dentist | 1130 Carlton Ave Apt 104, Raleigh, NC 27606-2066 | 2019-10-17 |
| 1578114732 | Lane and Associates Xxxiv Dds Pa | Dentist | 6320 Capital Blvd Ste 121, Raleigh, NC 27616-3017 | 2019-09-27 |
| 1114585486 | Ryan Thomas Kearney | Dentist | 5613 Duraleigh Rd Ste 131, Raleigh, NC 27612-2694 | 2019-06-03 |
| 1952878860 | Saba Jangda | Dentist | 101 Wilmot Dr, Raleigh, NC 27606-1228 | 2018-10-29 |
| 1720553191 | Davidian, Pllc | Dentist | 5904 Six Forks Rd Ste 207, Raleigh, NC 27609-8228 | 2018-10-11 |
| 1780170894 | Lauren Jones | Dentist | 6330 Falls of Neuse Rd Ste, Ste107, Raleigh, NC 27615-6810 | 2018-07-02 |
| 1457846644 | Mary Morgan Bitler Keyser | Dentist | 1005 Blenheim Dr, Raleigh, NC 27612-5508 | 2018-06-29 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.