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Contact Information

BRIAN G BRIESEMEISTER JR, DDS
1301 BRIDGEPORT WAY STE 109
SUFFOLK, VA23435-1960
 Phone: 757-484-1444
 Fax: 757-484-3712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRIAN G BRIESEMEISTER JR · (Male)

NPI Number 1205202256
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/13/2015
Last updated 11/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401414975
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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