Provider Demographics
NPI:1114445517
Name:FREEMAN, JOSYLIN VASSAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSYLIN
Middle Name:VASSAUR
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8590 FARMINGTON BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-3344
Mailing Address - Country:US
Mailing Address - Phone:901-756-0688
Mailing Address - Fax:901-756-0838
Practice Address - Street 1:8590 FARMINGTON BLVD STE 5
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-3344
Practice Address - Country:US
Practice Address - Phone:901-756-0688
Practice Address - Fax:901-756-0838
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist