Organization Active NPI

L. Temp Sullivan DDS PLLC

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1003550625
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
L. TEMP SULLIVAN DDS PLLC
Practice address
4219 Hillsboro Pike Ste 107
Nashville, TN 37215-3309
Phone
(615) 469-0887
Fax
(615) 469-0152
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Misty Graves
Title
Practice Administrator
Phone
(615) 469-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4219 Hillsboro Pike Ste 107
Nashville, TN 37215-3309

Mailing address

4219 Hillsboro Pike Ste 107
Nashville, TN 37215-3309
Phone (615) 469-0887

Other names 1

  • Sullivan Dental Co Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1003550625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO PIKE STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153309",
            "telephone_number": "615-469-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO PIKE STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153309",
            "telephone_number": "615-469-0887",
            "fax_number": "615-469-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. TEMP SULLIVAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-469-0887"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Dental Co",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sullivan Dental Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.