MEDICARE: ASHLEY BRIER DMD

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	DS038541	PA

General Provider Information

NPI Number	:	1518269786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BRIER DMD

Provider Business Mailing Address
First Line	:	PO BOX 3189
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13220-3189
Country	:	US
Telephone Number	:	315-454-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TOWN SQUARE RD
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19465-1017
Country	:	US
Telephone Number	:	610-323-6350
Fax Number	:

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

Provider Enumeration Date	:	11/22/2010
Last Update Date	:	11/22/2010

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