Provider Demographics
NPI:1225446362
Name:VINCENT, BRITTANY SLOAN (DDS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SLOAN
Last Name:VINCENT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DESIREE'
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1360 S ELLINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-4324
Mailing Address - Country:US
Mailing Address - Phone:931-359-1993
Mailing Address - Fax:
Practice Address - Street 1:1360 S ELLINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-4324
Practice Address - Country:US
Practice Address - Phone:931-359-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10258122300000X, 1223G0001X
RILD00104122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist