Provider Demographics
NPI:1063544971
Name:BRETT, ANNE L (DDS)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:L
Last Name:BRETT
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 1:900 N HERITAGE DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-5536
Mailing Address - Country:US
Mailing Address - Phone:760-446-9011
Mailing Address - Fax:760-446-9015
Practice Address - Street 1:900 N HERITAGE DR
Practice Address - Street 2:SUITE D
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-5536
Practice Address - Country:US
Practice Address - Phone:760-446-9011
Practice Address - Fax:760-446-9015
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice