MEDICARE: DR. ROBERT J BRISENO DDS

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
1	1223G0001X	General Practice Dentistry	5372	OR

General Provider Information

NPI Number	:	1851517353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J BRISENO DDS

Provider Business Mailing Address
First Line	:	PO BOX 407
Second Line	:
City	:	GLENDALE
State	:	OR
Zip	:	97442
Country	:	US
Telephone Number	:	541-832-2200
Fax Number	:	541-832-2655

Provider Business Practice Location Address
First Line	:	114 MOLLY ST
Second Line	:
City	:	GLENDALE
State	:	OR
Zip	:	97442
Country	:	US
Telephone Number	:	541-832-2200
Fax Number	:	541-832-2655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1134255169 — GLENDALE VOLUNTEER AMBULANCE DISTRICT
Practice Location Address:

416 TUNNEL ROAD
GLENDALE, OR
97442-0495

Practice Phone: 541-832-2900
Practice Fax: 541-832-2471

1629007182 — DR. LEONA MARIE ANDERSON DNP, AGPCNP-C
Practice Location Address:

101 1ST ST
GLENDALE, OR
97442-9640

Practice Phone: 541-832-5400
Practice Fax:

1902351489 — DONATO AND WOOD CONSULTING INC
Practice Location Address:

114 MOLLY ST
GLENDALE, OR
97442-3001

Practice Phone: 541-832-2765
Practice Fax: 541-955-5233

1114480399 — GLENDALE COMMUNITY PRIMARY CARE
Practice Location Address:

101 1ST ST
GLENDALE, OR
97442-9640

Practice Phone: 541-832-5400
Practice Fax:

1154912632 — SVETLANA VITUS
Practice Location Address:

101 1ST ST
GLENDALE, OR
97442-9640

Practice Phone: 541-832-5400
Practice Fax:

1689244980 — LAURA ASHLEY TOWNSEL CCMA, CHW
Practice Location Address:

489 WINDY CREEK RD
GLENDALE, OR
97442-9782

Practice Phone: 541-733-9719
Practice Fax:

Directions to “ DR. ROBERT J BRISENO DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.