Organization
L. TEMP SULLIVAN DDS PLLC
Active
Other names
Sullivan Dental Co
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY GRAVES (PRACTICE ADMINISTRATOR)
(615) 469-0887
Entity
Organization
Contact information
Practice address
4219 HILLSBORO PIKE STE 107, NASHVILLE, TN 37215-3309
(615) 469-0887
(615) 469-0152
Mailing address
4219 HILLSBORO PIKE STE 107, NASHVILLE, TN 37215-3309
(615) 469-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
08/29/2022
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