Provider Demographics
NPI:1245229103
Name:DORSEY, TOMMY JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:JAMES
Last Name:DORSEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1841
Mailing Address - Country:US
Mailing Address - Phone:615-327-4939
Mailing Address - Fax:615-327-1126
Practice Address - Street 1:341 22ND AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1841
Practice Address - Country:US
Practice Address - Phone:615-327-4939
Practice Address - Fax:615-327-1126
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist