Thad A. Sullens, D.m.d., PC
NPI #1578765368 in Trussville, Alabama
Provider Information
- NPI Number
- 1578765368
- Entity Type
- Organization
- Organization Name
- Thad A. Sullens, D.m.d., PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 7040 GADSDEN HWY
- Address 2
- STE 112
- City
- Trussville
- State
- Alabama
- ZIP Code
- 35173-2680
- Phone
- (205) 655-5219
Authorized Official
- Name
- DR. THAD SULLENS, D.M.D.
- Title
- PRESIDENT
- Phone
- (205) 655-5219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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