Provider Demographics
NPI:1932202124
Name:BRIGGS, MICHAELANNE E (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAELANNE
Middle Name:E
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SAN GABRIEL VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5594
Mailing Address - Country:US
Mailing Address - Phone:512-868-2233
Mailing Address - Fax:512-868-2210
Practice Address - Street 1:701 SAN GABRIEL VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5594
Practice Address - Country:US
Practice Address - Phone:512-868-2233
Practice Address - Fax:512-868-2210
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209651223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV00914Medicare UPIN
TX8C1759Medicare ID - Type Unspecified