Provider Demographics
NPI:1639785306
Name:NORIS, BRITTANY JORDAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:JORDAN
Last Name:NORIS
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 1:1645 EMERALD ST APT 1Y
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-3107
Mailing Address - Country:US
Mailing Address - Phone:925-207-7553
Mailing Address - Fax:
Practice Address - Street 1:4707 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2535
Practice Address - Country:US
Practice Address - Phone:858-483-6851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist