Provider Demographics
NPI:1689560278
Name:BURTON, CHASE SULLIVAN (DDS)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:SULLIVAN
Last Name:BURTON
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 1:443 RIVERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-3287
Mailing Address - Country:US
Mailing Address - Phone:615-785-7961
Mailing Address - Fax:
Practice Address - Street 1:4502 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3610
Practice Address - Country:US
Practice Address - Phone:615-647-8421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12880122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist