Lavalle Doyle Sorrells Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000003488 Issued in TN

Practice address

6555 Stage Rd Ste 2
Bartlett, TN 38134-3813

Phone

(901) 372-8959

Fax

(901) 372-8959

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1790857795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343813",
            "telephone_number": "901-372-8959",
            "fax_number": "901-372-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343813",
            "telephone_number": "901-372-8959",
            "fax_number": "901-372-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "LAVALLE",
        "middle_name": "DOYLE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000003488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.