Provider Demographics
NPI:1164641700
Name:VINSON, BRITT D (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITT
Middle Name:D
Last Name:VINSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1890 S MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9726
Mailing Address - Country:US
Mailing Address - Phone:919-554-6506
Mailing Address - Fax:919-554-0773
Practice Address - Street 1:1890 S MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9726
Practice Address - Country:US
Practice Address - Phone:919-554-6506
Practice Address - Fax:919-554-0773
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics