Provider Demographics
NPI:1235798471
Name:ANGGELIS, BRITAIN NINA DOOLITTLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITAIN
Middle Name:NINA DOOLITTLE
Last Name:ANGGELIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRITAIN
Other - Middle Name:NINA
Other - Last Name:DOOLITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13200 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:LEHEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215
Mailing Address - Country:US
Mailing Address - Phone:913-888-8333
Mailing Address - Fax:
Practice Address - Street 1:13200 W 95TH ST
Practice Address - Street 2:
Practice Address - City:LEHEXA
Practice Address - State:KS
Practice Address - Zip Code:66215
Practice Address - Country:US
Practice Address - Phone:402-551-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09651122300000X
KS619731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist