Provider Demographics
NPI:1588658827
Name:BRIGGS, PRESTON CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:CHARLES
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 N PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2056
Mailing Address - Country:US
Mailing Address - Phone:949-201-6590
Mailing Address - Fax:
Practice Address - Street 1:1ST DENTAL BATALLION
Practice Address - Street 2:CAMP PENDLETON
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054
Practice Address - Country:US
Practice Address - Phone:760-725-2569
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49474122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist