# SULLIVAN SURGICAL ARTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558031013
- **Authorized official:** DR. RICHARD H SULLIVAN IV DDS (CO OWNER-DENIST)
- **Authorized official phone:** (615) 373-1012

## Contact information

- **Practice address:** 5015 HARPETH DR, BRENTWOOD, TN 37027-7511
- **Practice address phone:** (615) 373-1012
- **Practice address fax:** (615) 373-3819
- **Mailing address:** 5015 HARPETH DR, BRENTWOOD, TN 37027-7511
- **Mailing address phone:** (615) 373-1012
- **Mailing address fax:** (615) 373-3819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 09/16/2021