Provider Demographics
NPI:1083339006
Name:VALLEDOR, BRITTANY ANN (DMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:VALLEDOR
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 1:13227 SW 46TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3918
Mailing Address - Country:US
Mailing Address - Phone:786-459-9275
Mailing Address - Fax:
Practice Address - Street 1:20330 GRANDE OAK SHOPPES BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-7663
Practice Address - Country:US
Practice Address - Phone:239-319-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN275211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice