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General NPI Number Information
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NPI Number | 1730088865
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Entity Type | Organization
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Legal Business Name | MICHAEL J BRISCH DDS
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 804 STRYKER ST 804 STRYKER ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1039
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Country | US
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Telephone | 419-446-2473
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Fax | 419-445-2006
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Provider Business Mailing Address
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Address Line | 804 STRYKER ST PO BOX 29
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City | ARCHBOLD
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State | OH
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Zip | 43502-1039
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Country | US
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Telephone | 419-446-2743
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Fax | 419-445-2006
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL JOHN BRITSCH
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Credential | DDS
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Telephone | 419-490-3851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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