Individual
DR. JOHN HUGH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
431 W CHURCH ST, LEXINGTON, TN 38351-2017
(731) 968-2776
(731) 968-4042
Mailing address
PO BOX 496, LEXINGTON, TN 38351-0496
(731) 968-2776
(731) 968-4042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2080
TN
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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