Jessica John Brisbois, DDS
Dentist in Grosse Pointe Woods, MI. Individual provider (NPI-1).
NPI number1659768232
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1659768232
- Entity type
- Individual (NPI-1)
- Name
- Jessica John Brisbois
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2015
- Certification date
- Sep 30, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901021562 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
20136 Mack AveGrosse Pointe Woods, MI 48236-1820
Phone 313-886-9355
Mailing address
20136 Mack AveGrosse Pointe Woods, MI 48236-1820
Phone 313-886-9355
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All 11 Dentist providers in Grosse Pointe Woods · All 706 providers in Grosse Pointe Woods
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