Provider Demographics
NPI:1760622831
Name:BRITT, DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BRITT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 NW BURDETT XING
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-1610
Mailing Address - Country:US
Mailing Address - Phone:816-769-6055
Mailing Address - Fax:816-228-5576
Practice Address - Street 1:1771 NW BURDETT XING
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-1610
Practice Address - Country:US
Practice Address - Phone:816-769-6055
Practice Address - Fax:816-228-5576
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN40931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice