Provider Demographics
NPI:1467485292
Name:BRITTIS, DANTE A (MD)
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:A
Last Name:BRITTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5508
Mailing Address - Country:US
Mailing Address - Phone:203-337-2600
Mailing Address - Fax:203-337-2666
Practice Address - Street 1:305 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5508
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:203-337-2666
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033931207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004121OtherHEALTH NET
CT533931OtherCONNECTICARE
TINOtherUNITED HEALTHCARE
CT0H2391 (2) (3)OtherEMPIRE BC/BS
CT0474718OtherAETNA
TINOtherNEHCA HMC/PPO
TINOtherCORVEL
TINOtherGREAT WEST
TINOtherPIONEER
CTZS492OtherOXFORD HEALTH PLANS
TINOtherPOMCO
TINOtherFIRST HEALTH / CCN
TINOtherCIGNA
CT001339317Medicaid
CT010033931CT01OtherANTHEM BC/BS
TINOtherORTHONET
TINOtherPIONEER
TINOtherFIRST HEALTH / CCN