Provider Demographics
NPI:1962186312
Name:JOSEPH, BRITTANY ANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANNE
Last Name:JOSEPH
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 1:29 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1351
Mailing Address - Country:US
Mailing Address - Phone:304-382-6011
Mailing Address - Fax:
Practice Address - Street 1:5480 BIG TYLER RD STE 1
Practice Address - Street 2:
Practice Address - City:CROSS LANES
Practice Address - State:WV
Practice Address - Zip Code:25313-1195
Practice Address - Country:US
Practice Address - Phone:304-776-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist