Provider Demographics
NPI:1063100675
Name:BRITTANY N. MEYER, DMD, PC
Entity type:Organization
Organization Name:BRITTANY N. MEYER, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-699-0745
Mailing Address - Street 1:3744 LAVISTA RD STE B
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-1046
Mailing Address - Country:US
Mailing Address - Phone:404-634-2205
Mailing Address - Fax:
Practice Address - Street 1:3744 LA VISTA RD
Practice Address - Street 2:SUITE B
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3003
Practice Address - Country:US
Practice Address - Phone:404-634-2205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies