Provider Demographics
NPI:1417629981
Name:BRITTANY J. NORIS DDS, INC
Entity Type:Organization
Organization Name:BRITTANY J. NORIS DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:NORIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-207-7553
Mailing Address - Street 1:1645 EMERALD ST APT 1Y
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-3107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:850 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4208
Practice Address - Country:US
Practice Address - Phone:858-454-0325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental