Dr Dewayne Laverne Briscoe, DDS MD is a
Dentist - Oral And Maxillofacial Surgery based in Sun Valley, Idaho. Dr Dewayne Laverne Briscoe is licensed to practice in Idaho (license number D-1661-OS) and his current practice location is
404 Fairway Loop, Sun Valley, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 720-9546.
NPI number for Dr Dewayne Laverne Briscoe is 1003242769 and his current mailing address is Po Box 147, Sun Valley, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003242769.
Healthcare Provider's Profile
| Full Name | Dr Dewayne Laverne Briscoe |
|---|
| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 404 Fairway Loop, Sun Valley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003242769
- Provider Enumeration Date: 09/25/2013
- Last Update Date: 09/25/2013
Medical Identifiers
Medical identifiers for Dr Dewayne Laverne Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003242769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D-1661-OS (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dewayne Laverne Briscoe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dewayne Laverne Briscoe, DDS MD
Po Box 147,
Sun Valley, ID 83353-0147
Ph: (208) 720-9546 | Dr Dewayne Laverne Briscoe, DDS MD
404 Fairway Loop,
Sun Valley, ID 83353
Ph: (208) 720-9546 |
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