Organization
LIFE BRIDGE DENTAL TN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH N SULLIVAN (DIRECTOR RCM)
(615) 601-5250
Entity
Organization
Contact information
Practice address
970 WOODLAND ST, NASHVILLE, TN 37206-3722
(615) 601-5250
(615) 468-0325
Mailing address
970 WOODLAND ST, NASHVILLE, TN 37206-3722
(615) 601-5250
(615) 468-0325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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