Provider Demographics
NPI:1144882671
Name:MACHUCA, BRITTA L (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTA
Middle Name:L
Last Name:MACHUCA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GUADALUPE ST APT 3711
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3369
Mailing Address - Country:US
Mailing Address - Phone:210-618-3621
Mailing Address - Fax:
Practice Address - Street 1:1245 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2269
Practice Address - Country:US
Practice Address - Phone:512-488-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist