Provider Demographics
NPI:1821227042
Name:BRITTEN, TODD MICHAEL (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:MICHAEL
Last Name:BRITTEN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 EHRLICH RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2075
Mailing Address - Country:US
Mailing Address - Phone:813-264-1258
Mailing Address - Fax:813-265-2083
Practice Address - Street 1:5111 EHRLICH RD
Practice Address - Street 2:SUITE 150
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2075
Practice Address - Country:US
Practice Address - Phone:813-264-1258
Practice Address - Fax:813-265-2083
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 18635122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist