Provider Demographics
NPI:1306968573
Name:BRITT, BRIAN J (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:BRITT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633W BAGLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-1356
Mailing Address - Country:US
Mailing Address - Phone:440-826-4242
Mailing Address - Fax:440-826-4243
Practice Address - Street 1:9701 VISTA WAY
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-662-4100
Practice Address - Fax:216-662-8794
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022228122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist