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Individual

DR. SUNNY CHANDRAVADAN BANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3913 LEBANON PIKE, HERMITAGE, TN 37076-2011
(615) 505-1111
Mailing address
412 WHITE BRIDGE PL, NASHVILLE, TN 37209-3022
(615) 594-2199
(615) 905-1111

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9233
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9233
DDS 9233 DENTAL LICENSE NUMBER
TN
Enumeration date
12/03/2010
Last updated
07/21/2022
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