| 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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