Provider Demographics
NPI:1922387281
Name:REEVES, BRITTNEY P (DMD)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:P
Last Name:REEVES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16090 HIGHWAY 72
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35652-8111
Mailing Address - Country:US
Mailing Address - Phone:256-247-1000
Mailing Address - Fax:
Practice Address - Street 1:16090 HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35652-8111
Practice Address - Country:US
Practice Address - Phone:256-247-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL58581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice