Provider Demographics
NPI:1093879348
Name:LEVSEY, BRITTNEY DIANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:DIANE
Last Name:LEVSEY
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 1:4716 ILLINOIS RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-5122
Mailing Address - Country:US
Mailing Address - Phone:260-739-1813
Mailing Address - Fax:
Practice Address - Street 1:2411 SENSENEY DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4698
Practice Address - Country:US
Practice Address - Phone:931-278-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000097571223G0001X
KY8181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice