MEDICARE: BRIGGS FAMILY DENTAL, LLC

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

General Provider Information

NPI Number	:	1710751557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGGS FAMILY DENTAL, LLC

Provider Business Mailing Address
First Line	:	9743 S CONGRESS ST
Second Line	:
City	:	NEW MARKET
State	:	VA
Zip	:	22844-9611
Country	:	US
Telephone Number	:	540-740-3660
Fax Number	:	540-740-8660

Provider Business Practice Location Address
First Line	:	9743 S CONGRESS ST
Second Line	:
City	:	NEW MARKET
State	:	VA
Zip	:	22844-9611
Country	:	US
Telephone Number	:	540-740-3660
Fax Number	:	540-740-8660

Authorized Official
Title or Position	:	FINANCIAL/INSURANCE COORDINATOR
Name	:	MEGAN KNIGHT
Credential	:
Telephone Number	:	540-740-3660

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	11/21/2023

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