Provider Demographics
NPI:1528597127
Name:HUIRAS, BRITTANY (DDS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HUIRAS
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 1:1885 WHISTLING STRAITS DR APT 20
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-2255
Mailing Address - Country:US
Mailing Address - Phone:715-491-3636
Mailing Address - Fax:
Practice Address - Street 1:1885 WHISTLING STRAITS DR APT 20
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-2255
Practice Address - Country:US
Practice Address - Phone:715-491-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WI1001601-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program