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Individual

RICHARD HUGH SULLIVAN IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5023 HARPETH DR, BRENTWOOD, TN 37027-7511
(615) 373-1012
Mailing address
5524 CHERRYWOOD DR, BRENTWOOD, TN 37027-4211

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10036
TN

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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