Organization
JIMMY B SHEATS D.D.S., P.C.
Active
Other names
Sheats Endodontic Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY B SHEATS D.D.S. (PRESIDENT)
(615) 320-0099
Entity
Organization
Contact information
Practice address
1915 CHARLOTTE AVE, SUITE 205, NASHVILLE, TN 37203-2130
(615) 320-0099
(615) 825-0006
Mailing address
1915 CHARLOTTE AVE, SUITE 205, NASHVILLE, TN 37203-2130
(615) 320-0099
(615) 825-0006
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
2957
TN
1223E0200X
Endodontics
7716
TN
1223E0200X
Endodontics
Primary
7807
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005116
—
TN
05
—
5440915
—
TN
05
—
5440917
—
TN
Enumeration date
11/01/2006
Last updated
08/22/2020
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