Provider Demographics
NPI:1053150243
Name:WATERS, BRITTANY C (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:C
Last Name:WATERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:C
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5798 CAMHURST CT
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8331
Mailing Address - Country:US
Mailing Address - Phone:614-756-1497
Mailing Address - Fax:
Practice Address - Street 1:5040 FOREST DR STE 220
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8167
Practice Address - Country:US
Practice Address - Phone:614-808-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0275001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice