Provider Demographics
NPI:1356415830
Name:BRITTAIN, JAMES M (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BRITTAIN
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:2711 RANDOLPH RD
Mailing Address - Street 2:STE 201
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2034
Mailing Address - Country:US
Mailing Address - Phone:704-372-0432
Mailing Address - Fax:704-372-2869
Practice Address - Street 1:2711 RANDOLPH RD
Practice Address - Street 2:STE 201
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2034
Practice Address - Country:US
Practice Address - Phone:704-372-0432
Practice Address - Fax:704-372-2869
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC35321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8991097Medicaid