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NPI Code Detail

MEDICARE: DR. ANNEL INES BRIICK DDS

MEDICARE: DR. ANNEL INES BRIICK 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
11223G0001XGeneral Practice Dentistry1093522112NC

General Provider Information

NPI Number : 1093522112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNEL INES BRIICK DDS
Provider Business Mailing Address
First Line : 636 BRIGHAM RD
Second Line : APT 2A
City : GREENSBORO
State : NC
Zip : 27409
Country : US
Telephone Number : 563-459-8774
Fax Number :
Provider Business Practice Location Address
First Line : 2643 RANDLEMAN RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-5153
Country : US
Telephone Number : 336-544-2758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 01/22/2026

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