Provider Demographics
NPI:1871868828
Name:DEAN, BRITTANY TAMAR (DDS, MSD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:TAMAR
Last Name:DEAN
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:TAMAR
Other - Last Name:BENSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:913 SEA VISTA PL
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3950
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KULSHAN PEDIATRIC DENTISTRY
Practice Address - Street 2:2210 KULSHAN VIEW DR
Practice Address - City:MT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-424-4811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60375862122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist