Provider Demographics
NPI:1316368350
Name:WILLS, BRITTANY DONT'A (DDS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DONT'A
Last Name:WILLS
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 1:4800 KELLER SPRINGS RD
Mailing Address - Street 2:1266
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6053
Mailing Address - Country:US
Mailing Address - Phone:903-908-1174
Mailing Address - Fax:
Practice Address - Street 1:5330 E MOCKINGBIRD LN
Practice Address - Street 2:SUITE 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0940
Practice Address - Country:US
Practice Address - Phone:214-821-6468
Practice Address - Fax:214-821-8009
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX295251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice