Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shaun Michael Bivens, DMD

Individual provider General Practice Dentistry · NPI 1053480764

Dr. Shaun Michael Bivens, DMD is a General Practice Dentistry in Mount Juliet, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

541 N Mount Juliet Rd Ste 2302
Mount Juliet, TN 37122-3872
Phone: (615) 773-8882
Fax: (615) 758-2383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8528 (TN)

Record details

NPI number1053480764
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 23, 2010

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