Provider Demographics
NPI:1821456336
Name:SINQUEFIELD FAMILY DENTISTRY
Entity Type:Organization
Organization Name:SINQUEFIELD FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SINQUEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-896-8181
Mailing Address - Street 1:570 BRANDIES CIR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-7687
Mailing Address - Country:US
Mailing Address - Phone:615-896-8181
Mailing Address - Fax:615-896-8848
Practice Address - Street 1:570 BRANDIES CIR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-7687
Practice Address - Country:US
Practice Address - Phone:615-896-8181
Practice Address - Fax:615-896-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty