Provider Demographics
NPI:1497160592
Name:HOUSE, BRITTANY G (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:G
Last Name:HOUSE
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 1:4700 HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-9419
Mailing Address - Country:US
Mailing Address - Phone:318-949-9878
Mailing Address - Fax:318-949-3400
Practice Address - Street 1:4700 HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-9419
Practice Address - Country:US
Practice Address - Phone:318-949-9878
Practice Address - Fax:318-949-3400
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA64991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice