Provider Demographics
NPI:1538461025
Name:BANT, SUNNY CHANDRAVADAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:CHANDRAVADAN
Last Name:BANT
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 1:412 WHITE BRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3022
Mailing Address - Country:US
Mailing Address - Phone:615-594-2199
Mailing Address - Fax:615-905-1111
Practice Address - Street 1:3913 LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2011
Practice Address - Country:US
Practice Address - Phone:615-505-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN92331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9233OtherDDS 9233 DENTAL LICENSE NUMBER