Provider Demographics
NPI:1487279386
Name:HEWETT, BRITTANY TAYLOR (DMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:TAYLOR
Last Name:HEWETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 STEPHENS DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-3368
Mailing Address - Country:US
Mailing Address - Phone:910-538-0818
Mailing Address - Fax:
Practice Address - Street 1:3201 LAWRENCE RD STE 375
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1638
Practice Address - Country:US
Practice Address - Phone:940-432-3404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11889122300000X
390200000X
TX38398122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program