Provider Demographics
NPI:1841671229
Name:RICH, BRITTANY NICOLE (DMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:NICOLE
Last Name:RICH
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 1:2755 S NELLIS BLVD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7549
Mailing Address - Country:US
Mailing Address - Phone:702-457-5335
Mailing Address - Fax:
Practice Address - Street 1:2755 S NELLIS BLVD
Practice Address - Street 2:SUITE 12
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7549
Practice Address - Country:US
Practice Address - Phone:702-457-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist