Provider Demographics
NPI:1316424534
Name:HENRY, BRITTANY M (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:M
Last Name:HENRY
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 1:3145 GREEN VALLEY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5256
Mailing Address - Country:US
Mailing Address - Phone:205-970-7292
Mailing Address - Fax:
Practice Address - Street 1:3145 GREEN VALLEY RD STE 101
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5256
Practice Address - Country:US
Practice Address - Phone:205-970-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6530122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist