Dr. Dewayne Laverne Briscoe, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1003242769

Dr. Dewayne Laverne Briscoe, DDSMD is an Oral and Maxillofacial Surgery (Dentist) in Sun Valley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in: ID
In the registry since: 2013

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Practice location Address checks out

404 Fairway Loop
Sun Valley, ID 83353 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 720-9546

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary)	Taxonomy 1223S0112X · Licence D-1661-OS (ID)

Record details

NPI number	1003242769
Entity type	Individual (Type 1)
Gender	Male
Credentials	DDSMD
Sole proprietor	Yes
NPI enumerated	September 25, 2013
Last updated in NPPES	September 25, 2013