Individual
DR. WESLEY A SUDDARTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 S. PUBLIC SQ, ALEXANDRIA, TN 37012-0097
(615) 529-2895
Mailing address
PO BOX 97, 111 S. PUBLIC SQ, ALEXANDRIA, TN 37012-0097
(615) 529-2895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 3317
TN
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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