Provider Demographics
NPI:1063307494
Name:BOZEMAN, BRITTNEE LYNN (DMD)
Entity type:Individual
Prefix:
First Name:BRITTNEE
Middle Name:LYNN
Last Name:BOZEMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-9184
Mailing Address - Country:US
Mailing Address - Phone:615-478-7578
Mailing Address - Fax:
Practice Address - Street 1:7418 NORRIS FWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-4219
Practice Address - Country:US
Practice Address - Phone:865-377-8560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12788122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist