Provider Demographics
NPI:1457076374
Name:BRITTANY A SHUBERT DMD PLLC
Entity Type:Organization
Organization Name:BRITTANY A SHUBERT DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTITS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SHUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-981-1385
Mailing Address - Street 1:804 TAM O SHANTER CIR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1125
Mailing Address - Country:US
Mailing Address - Phone:630-981-1385
Mailing Address - Fax:
Practice Address - Street 1:395 S SCHMALE RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2756
Practice Address - Country:US
Practice Address - Phone:630-981-1385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental