Jerry E. Sullins, Dds | |
104 Hazel Path Suite 1 Hendersonville TN 37075-3844 | |
(615) 824-7220 | |
(615) 824-9947 |
Full Name | Jerry E. Sullins, Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 104 Hazel Path, Hendersonville, Tennessee |
Authorized Official Name and Position | Daphne Potter (FRONT OFFICE MANAGER) |
Authorized Official Contact | 6158247220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerry E. Sullins, Dds 104 Hazel Path Suite 1 Hendersonville TN 37075-3844 Ph: (615) 824-7220 | Jerry E. Sullins, Dds 104 Hazel Path Suite 1 Hendersonville TN 37075-3844 Ph: (615) 824-7220 |
NPI Number | 1649442252 |
---|---|
Provider Enumeration Date | 03/24/2008 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649442252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS3056 (Tennessee) | Primary |
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