Stephen Brisco in Baton Rouge - Dentist

Stephen Brisco - NPI 1902938061

Stephen Brisco is a Dentist in Baton Rouge, Louisiana. Stephen Brisco practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Brisco is 1902938061. The last update date is 2016-10-03.

Stephen Brisco's current location address is 4550 North Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2253415901 and fax number 2253415903. The mailing address for Stephen Brisco is 4550 North Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Brisco
Address 4550 North Blvd, Baton Rouge, Louisiana
Phone Number 2253415901
Fax Number 2253415903
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1902938061
Provider Enumeration Date 2007-03-12
Last Updated Date 2016-10-03

Provider Mailing Address Detail

Address 4550 North Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 708064013
Phone Number 2253415901
Fax Number 2253415903

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5706
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Stephen Brisco

What is the unique 10-digit identification code issued to Stephen Brisco by the Centers for Medicare & Medicaid Services?

The Stephen Brisco has been assigned the NPI (National Provider Identifier) 1902938061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Stephen Brisco is physically located?

The Stephen Brisco is situated at the following address: 4550 North Blvd, Baton Rouge, LA 708064013.

What is Stephen Brisco's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen Brisco's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

When did Stephen Brisco receive its 1902938061 assignment?

The Stephen Brisco was assigned its 1902938061 on 2007-03-12, which is the date when this unique identifier was issued to the organization.

As of what date were the Stephen Brisco's details last updated?

The information pertaining to the Stephen Brisco, including its address, specialty, and other details, was most recently updated on 2016-10-03.

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