MEDICARE: DR. BRITTNEY J STEVENSON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN122521	GA

General Provider Information

NPI Number	:	1184316101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTNEY J STEVENSON DDS

Provider Business Mailing Address
First Line	:	3228 ROBINSON AVE
Second Line	:
City	:	SCOTTDALE
State	:	GA
Zip	:	30079-1524
Country	:	US
Telephone Number	:	409-739-4699
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 AVALON BLVD STE 100
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-6756
Country	:	US
Telephone Number	:	770-375-4383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	12/09/2025

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