Individual
DR. DOUGLAS DANIEL BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9000 ROGERS AVE, FORT SMITH, AR 72903-5249
(479) 452-8193
Mailing address
903 RAMBO EST, LAVACA, AR 72941-4327
(479) 674-5388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2847
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2847
STATE LICENSE
AR
01
—
58076
BCBS
AR
01
—
809879
UNITED CONCORDIA
AR
Enumeration date
01/23/2007
Last updated
07/08/2007
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