Provider Demographics
NPI:1467947440
Name:FOSTER, BRITTANY SOPHIA (DMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:SOPHIA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 AIRWAY AVE STE M2
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4626
Mailing Address - Country:US
Mailing Address - Phone:714-668-9811
Mailing Address - Fax:714-668-7032
Practice Address - Street 1:3151 AIRWAY AVE STE M2
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4626
Practice Address - Country:US
Practice Address - Phone:714-668-9811
Practice Address - Fax:714-668-7032
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND140611223G0001X
CA1091411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice