Provider Demographics
NPI:1619530656
Name:ZHANG, BRITTANY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:ZHANG
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 1:1100 EASTSHORE HWY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1002
Mailing Address - Country:US
Mailing Address - Phone:510-559-9971
Mailing Address - Fax:
Practice Address - Street 1:1100 EASTSHORE HWY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-1002
Practice Address - Country:US
Practice Address - Phone:510-559-9971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLL-503-191223G0001X
CADDS1051561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice