Provider Demographics
NPI:1679690317
Name:MASSEY, BRITNY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITNY
Middle Name:
Last Name:MASSEY
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 1:3695 STAR RANCH RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5980
Mailing Address - Country:US
Mailing Address - Phone:719-442-1960
Mailing Address - Fax:866-442-0338
Practice Address - Street 1:3695 STAR RANCH RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-5980
Practice Address - Country:US
Practice Address - Phone:719-442-1960
Practice Address - Fax:866-442-0338
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213971223G0001X
CO96371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice