Provider Demographics
NPI:1447963525
Name:BRITT, CHELSEA LEA
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LEA
Last Name:BRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 WOODCOCK RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:NC
Mailing Address - Zip Code:27842-9618
Mailing Address - Country:US
Mailing Address - Phone:804-720-2753
Mailing Address - Fax:
Practice Address - Street 1:202 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1912
Practice Address - Country:US
Practice Address - Phone:252-257-3736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0402208791124Q00000X
NC12953124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist