Provider Demographics
NPI:1265662944
Name:DEXTER, BRITTANY LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEIGH
Last Name:DEXTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 FAIRWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065
Mailing Address - Country:US
Mailing Address - Phone:614-766-5722
Mailing Address - Fax:614-754-5219
Practice Address - Street 1:9745 FAIRWAY DRIVE
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065
Practice Address - Country:US
Practice Address - Phone:614-766-5722
Practice Address - Fax:614-754-5219
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0230811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice