Provider Demographics
NPI:1417845850
Name:BALL, BRIANNA WEBER (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:WEBER
Last Name:BALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:BRIANNA
Other - Middle Name:ELIZABETH
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3555 STEWART HILL LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3766
Mailing Address - Country:US
Mailing Address - Phone:865-585-3753
Mailing Address - Fax:
Practice Address - Street 1:8912 TOWN AND COUNTRY CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4930
Practice Address - Country:US
Practice Address - Phone:865-326-3647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist