Provider Demographics
NPI:1255694063
Name:GILBERT, BRITTNEY WISE (DMD)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:WISE
Last Name:GILBERT
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 1:1932 LAUREL RD
Mailing Address - Street 2:STE 2A
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1945
Mailing Address - Country:US
Mailing Address - Phone:205-978-6700
Mailing Address - Fax:
Practice Address - Street 1:300 JADE PARK STE 302
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-8349
Practice Address - Country:US
Practice Address - Phone:205-678-2096
Practice Address - Fax:205-678-2098
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5924C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist