Provider Demographics
NPI:1811371271
Name:CASTEEN, BRITTANY BLALOCK (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:BLALOCK
Last Name:CASTEEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 KINGS FORK RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8335
Mailing Address - Country:US
Mailing Address - Phone:757-286-0724
Mailing Address - Fax:
Practice Address - Street 1:3410 COUNTY ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3205
Practice Address - Country:US
Practice Address - Phone:757-393-2568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014148941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice