Provider Demographics
NPI:1093196784
Name:BROWN, BRITTANY RUSH (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:RUSH
Last Name:BROWN
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 1:6207 PARK SOUTH DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3653
Mailing Address - Country:US
Mailing Address - Phone:704-553-0008
Mailing Address - Fax:704-553-0076
Practice Address - Street 1:6207 PARK SOUTH DR STE 102
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3653
Practice Address - Country:US
Practice Address - Phone:704-553-0008
Practice Address - Fax:704-553-0076
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112021223G0001X
SC85621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice