Provider Demographics
NPI:1114559937
Name:BRITTON FARNSWORTH ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:BRITTON FARNSWORTH ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BLOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:210-497-6688
Mailing Address - Street 1:1130 E SONTERRA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4236
Mailing Address - Country:US
Mailing Address - Phone:210-497-6688
Mailing Address - Fax:
Practice Address - Street 1:1130 E SONTERRA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4236
Practice Address - Country:US
Practice Address - Phone:210-497-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty