Provider Demographics
NPI:1558657742
Name:NEWMAN, KATHRYN OSBORNE (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:OSBORNE
Last Name:NEWMAN
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 1:609 WESTBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2132
Mailing Address - Country:US
Mailing Address - Phone:901-652-9358
Mailing Address - Fax:
Practice Address - Street 1:10652 DEERBROOK DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-1941
Practice Address - Country:US
Practice Address - Phone:865-671-0603
Practice Address - Fax:865-671-0604
Is Sole Proprietor?:No
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN93161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice