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NPI Code Detail

MEDICARE: DR. DAVID LAWRENCE BRIZZEE D.D.S.

MEDICARE: DR. DAVID LAWRENCE BRIZZEE D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0001XPublic Health Dentistry4483NV

General Provider Information

NPI Number : 1376606608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LAWRENCE BRIZZEE D.D.S.
Provider Business Mailing Address
First Line : 746 THORPE DR
Second Line :
City : SPRING CREEK
State : NV
Zip : 89815-7424
Country : US
Telephone Number : 775-738-2252
Fax Number : 775-738-5859
Provider Business Practice Location Address
First Line : 515 SHOSHONE CIR
Second Line :
City : ELKO
State : NV
Zip : 89801-5072
Country : US
Telephone Number : 775-738-2252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID LAWRENCE BRIZZEE D.D.S.” Practice Location

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