Provider Demographics
NPI:1942546270
Name:BRITT DENTAL LLC
Entity Type:Organization
Organization Name:BRITT DENTAL LLC
Other - Org Name:PREFERRED DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CORNELIUS
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-769-6055
Mailing Address - Street 1:1771 NW BURDETT CROSSING
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65014-1610
Mailing Address - Country:US
Mailing Address - Phone:816-228-0001
Mailing Address - Fax:816-228-5576
Practice Address - Street 1:1771 NW BURDETT CROSSING
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65014-1610
Practice Address - Country:US
Practice Address - Phone:816-228-0001
Practice Address - Fax:816-228-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008014715122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty