Individual
DR. DARRYL A BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5103 HIGHWAY 100, LYLES, TN 37098-1879
(931) 670-5961
Mailing address
5103 HIGHWAY 100, LYLES, TN 37098-1879
(931) 670-5961
(888) 552-9652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS6858
TN
Other
Enumeration date
10/24/2005
Last updated
02/26/2016
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