Individual
DR. ROBERT SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
131 MAPLE ROW BLVD STE D402, HENDERSONVILLE, TN 37075-3777
(615) 824-2181
Mailing address
131 MAPLE ROW BLVD STE D402, HENDERSONVILLE, TN 37075-3777
(615) 824-2181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4335
TN
Other
Enumeration date
11/15/2006
Last updated
04/06/2009
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