Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEWAYNE LAVERNE BRISCOE, DDS MD
Active Sole ProprietorDR. DEWAYNE LAVERNE BRISCOE, DDS MD is a Oral & Maxillofacial Surgery healthcare provider located in SUN VALLEY, Idaho. NPI 1003242769 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SUN VALLEY, ID
Registration Details
- NPI Number
- 1003242769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2013 (12.844944330484 yrs)
- Last Updated
- Sep 25, 2013
- License
-
D-1661-OS (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 FAIRWAY LOOPSUN VALLEY, ID, 83353Browse ID providers · Browse ZIP 83353
- Phone
- 2087209546
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.