| Center For Sleep & Tmj | |
|
1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 | |
| (757) 929-7100 | |
| (757) 929-7097 |
| Full Name | Center For Sleep & Tmj |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Sleep & Tmj 1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 929-7100 | Center For Sleep & Tmj 1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 929-7100 |
| NPI Number | 1477255859 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477255859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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