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1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 | |
(757) 484-1444 | |
(757) 484-3712 |
Full Name | |
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Speciality | Dentist |
Location | 1301 Bridgeport Way Ste 109, Suffolk, Virginia |
Authorized Official Name and Position | Brian Gene Briesemeister (DENTIST) |
Authorized Official Contact | 7574841444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 484-1444 | 1301 Bridgeport Way Ste 109 Suffolk VA 23435-1960 Ph: (757) 484-1444 |
NPI Number | 1871158691 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 03/30/2023 |
Identifier | Type | State | Issuer |
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1871158691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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 | |