Individual
JACK BRITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2200 MAIN ST, BROCKWAY, PA 15824
(814) 265-0820
Mailing address
2200 MAIN ST, BROCKWAY, PA 15824
(814) 265-0820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS016347L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS016347L
PENNSYLVANIA STATE LICENSE NUMBER
PA
Enumeration date
03/29/2012
Last updated
03/07/2023
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