| Thad A. Sullens, D.m.d., Pc | |
|
7040 Gadsden Hwy Ste 112 Trussville AL 35173-2680 | |
| (205) 655-5219 | |
| Not Available |
| Full Name | Thad A. Sullens, D.m.d., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7040 Gadsden Hwy, Trussville, Alabama |
| Authorized Official Name and Position | Thad Sullens (PRESIDENT) |
| Authorized Official Contact | 2056555219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thad A. Sullens, D.m.d., Pc 7040 Gadsden Hwy Ste 112 Trussville AL 35173-2680 Ph: () - | Thad A. Sullens, D.m.d., Pc 7040 Gadsden Hwy Ste 112 Trussville AL 35173-2680 Ph: (205) 655-5219 |
| NPI Number | 1578765368 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578765368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5163 (Alabama) | Primary |
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