Provider Demographics
NPI:1114036704
Name:BRITTON, EUGENE PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:PAUL
Last Name:BRITTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10950 PEARL RD
Mailing Address - Street 2:#A5
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3350
Mailing Address - Country:US
Mailing Address - Phone:440-238-0405
Mailing Address - Fax:440-238-8357
Practice Address - Street 1:10950 PEARL RD
Practice Address - Street 2:#A5
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3350
Practice Address - Country:US
Practice Address - Phone:440-238-0405
Practice Address - Fax:440-238-8357
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300154011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice