Provider Demographics
NPI:1639114002
Name:SAVELL, TRUITT ANTHONY (M D, D D S)
Entity Type:Individual
Prefix:DR
First Name:TRUITT
Middle Name:ANTHONY
Last Name:SAVELL
Suffix:
Gender:M
Credentials:M D, D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 HENSLEE DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2166
Mailing Address - Country:US
Mailing Address - Phone:615-441-1441
Mailing Address - Fax:615-441-1460
Practice Address - Street 1:445 HENSLEE DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2166
Practice Address - Country:US
Practice Address - Phone:615-441-1441
Practice Address - Fax:615-441-1460
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000079151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5440851Medicaid
TN5440851Medicaid
TN3813874Medicare PIN