Provider Demographics
NPI:1932833514
Name:OWEN, BRITTNEY WORRELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:WORRELL
Last Name:OWEN
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 1:12235 PINYON LN
Mailing Address - Street 2:
Mailing Address - City:RUTHER GLEN
Mailing Address - State:VA
Mailing Address - Zip Code:22546-3548
Mailing Address - Country:US
Mailing Address - Phone:540-230-7306
Mailing Address - Fax:
Practice Address - Street 1:2405 CHARLES ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3309
Practice Address - Country:US
Practice Address - Phone:540-371-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014179831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice