Stephen Craig Brisco, D.D.S.
Dentist, General Practice in New Orleans, LA. Individual provider (NPI-1).
NPI number1043499643
StatusActive
Last updated in NPPESOct 31, 2007
Details
- NPI
- 1043499643
- Entity type
- Individual (NPI-1)
- Name
- Stephen Craig Brisco
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2007
- Last updated
- Oct 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4165 | LA | Yes |
Other names
- Stephen C. Brisco (Professional Name)
Practice location
1100 Florida AveNew Orleans, LA 70119-2714
Phone 504-619-8721
Mailing address
1100 Florida AveNew Orleans, LA 70119-2714
Phone 504-619-8721
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