Provider Demographics
NPI:1811303886
Name:PIERPONT, BRITTANY (DDS)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PIERPONT
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 1:7000 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-4001
Mailing Address - Country:US
Mailing Address - Phone:727-546-4665
Mailing Address - Fax:727-548-7684
Practice Address - Street 1:7000 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-4001
Practice Address - Country:US
Practice Address - Phone:727-546-4665
Practice Address - Fax:727-548-7684
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist