Individual
DR. LOYD T SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4219 HILLSBORO PIKE STE 107, NASHVILLE, TN 37215-3309
(615) 469-0887
(061) 546-9015
Mailing address
4219 HILLSBORO PIKE STE 107, NASHVILLE, TN 37215-3309
(615) 469-0887
(615) 469-0152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7385
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016026
DORAL DENTAL - TNCARE
TN
Enumeration date
10/19/2005
Last updated
12/07/2022
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