Provider Demographics
NPI:1639310873
Name:BRITNY MASSEY DDS,PC
Entity Type:Organization
Organization Name:BRITNY MASSEY DDS,PC
Other - Org Name:CHEYENNE MOUNTAIN CHILDREN'S DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:719-442-1960
Mailing Address - Street 1:6514 S ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8614
Mailing Address - Country:US
Mailing Address - Phone:719-442-1960
Mailing Address - Fax:719-527-0190
Practice Address - Street 1:6514 S ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8614
Practice Address - Country:US
Practice Address - Phone:719-442-1960
Practice Address - Fax:719-527-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty