DR. DEWAYNE LAVERNE BRISCOE DDS MD
NPI 1003242769
Dentist - Oral and Maxillofacial Surgery in Sun Valley, ID

Q: What is Dewayne Briscoe's NPI number?

The NPI number for Dewayne Briscoe is 1003242769. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Q: What is Dewayne Briscoe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Dewayne Briscoe was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2013

404 FAIRWAY LOOP, SUN VALLEY, ID 83353(208) 720-9546 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dewayne Laverne Briscoe Dds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEWAYNE LAVERNE BRISCOE DDS MD (NPI 1003242769) is an individual oral and maxillofacial surgery provider in Sun Valley, Idaho, licensed in Idaho (D-1661-OS) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1003242769

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DEWAYNE LAVERNE BRISCOECredential: DDS MD

Location Address404 FAIRWAY LOOPSun Valley, ID 83353

Mailing AddressPo Box 147Sun Valley, ID 83353-0147 · (208) 720-9546

Phone(208) 720-9546

Sole ProprietorYes

Enumeration DateSeptember 25, 2013

✔ NPI 1003242769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in ID · D-1661-OS

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

404 FAIRWAY LOOP, Sun Valley, ID 83353

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewayne Briscoe's NPI number?

The NPI number for Dewayne Briscoe is 1003242769. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Dewayne Briscoe located?

Dewayne Briscoe practices at 404 Fairway Loop, Sun Valley, ID 83353. The listed phone number is (208) 720-9546.

What is Dewayne Briscoe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dewayne Briscoe was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.