Individual
DR. SHAUN MICHAEL BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
541 N MOUNT JULIET RD STE 2302, MOUNT JULIET, TN 37122-3872
(615) 773-8882
(615) 758-2383
Mailing address
541 N MOUNT JULIET RD STE 2302, MOUNT JULIET, TN 37122-3872
(615) 773-8882
(615) 758-2383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8528
TN
Other
Enumeration date
11/07/2006
Last updated
08/23/2010
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