Provider Demographics
NPI:1922157775
Name:SULLIVAN, CURRY DALE SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURRY
Middle Name:DALE
Last Name:SULLIVAN
Suffix:SR
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 1:2000 RICHARD JONES RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2885
Mailing Address - Country:US
Mailing Address - Phone:615-298-1651
Mailing Address - Fax:615-298-1129
Practice Address - Street 1:2000 RICHARD JONES RD
Practice Address - Street 2:SUITE 107
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2885
Practice Address - Country:US
Practice Address - Phone:615-298-1651
Practice Address - Fax:615-298-1129
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS19631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice