Provider Demographics
NPI:1750590279
Name:BRIGGS, SHAUN SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:SCOTT
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 1:826 N 100 E
Mailing Address - Street 2:SUITE #5
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1241
Mailing Address - Country:US
Mailing Address - Phone:801-798-0061
Mailing Address - Fax:801-798-7162
Practice Address - Street 1:826 N 100 E
Practice Address - Street 2:SUITE #5
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1241
Practice Address - Country:US
Practice Address - Phone:801-798-0061
Practice Address - Fax:801-798-7162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6227173-9923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist