<unavail> in Suffolk, VA - Medicare Dentist

is a medicare enrolled dental clinic (Dentist) in Suffolk, Virginia. The current practice location for is 1301 Bridgeport Way Ste 109, Suffolk, Virginia. For appointments, you can reach them via phone at (757) 929-7100. The mailing address for is 1301 Bridgeport Way Ste 109, Suffolk, Virginia and phone number is (757) 929-7100.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477255859. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 929-7100.

Contact Information


	1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960
	(757) 929-7100
	(757) 929-7097

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist
Location	1301 Bridgeport Way Ste 109, Suffolk, Virginia
Authorized Official Name and Position	Brian Gene Briesemeister (EXECUTIVE)
Authorized Official Contact	7579297100
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 929-7100	1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 929-7100

NPI Details:

NPI Number	1477255859
Provider Enumeration Date	03/20/2023
Last Update Date	03/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6709263478
Medicare Enrollment ID	O20220518001828

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477255859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	(* (Not Available))	Primary
332BC3200X	Durable Medical Equipment & Medical Supplies - Customized Equipment	(* (Not Available))	Secondary

Reviews and Comments

Dental Clinics in Suffolk, VA

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Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6255 College Dr, Suite E, Suffolk, VA 23435 Phone: 757-663-5716
Trudeau Endodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Breezeport Way, Suite 400, Suffolk, VA 23435 Phone: 757-638-4500
Robert E Anderson Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pruden Boulevard, Suffolk, VA 23434 Phone: 757-934-3000 Fax: 757-934-1200
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 Meade Pkwy, Suffolk, VA 23434 Phone: 757-514-3656

- Medicare Dental Clinic in Suffolk, VA