Patricia Lynn Sullivan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000007236 Issued in TN

Practice address

2717 Andersonville Hwy
Clinton, TN 37716-6755

Phone

(865) 494-5274

Fax

(865) 494-5275

NPI assigned

Nov 2, 2005

Last updated

Apr 2, 2015By the provider in NPPES

Sex

Female

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appalachia Family Dentistry

  • Dental Clinic/Center
  • Clinton, TN
  • NPI 1033620158
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1902897549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 ANDERSONVILLE HWY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166755",
            "telephone_number": "865-494-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 ANDERSONVILLE HWY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166755",
            "telephone_number": "865-494-5274",
            "fax_number": "865-494-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000007236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Stewart
• Selicia Madonna Stooksbury, LPN
• Alexandra Jenneane Stroud, MS, RD
• Katie Corrine Styles, CCMA
• James Thomas Sublett
• Summit Medical Group, PLLC (Summit Medical Group of Clinton)
• Tonia R Suttles
• Cheri P Sweet, NP
• Susan Price Teffeteller, FNP-BC
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06365)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.