Provider Demographics
NPI:1730455486
Name:BRIGGLE, JOSEPH WESLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WESLEY
Last Name:BRIGGLE
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 1:368 SEVILLA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6615
Mailing Address - Country:US
Mailing Address - Phone:305-446-1956
Mailing Address - Fax:305-446-9110
Practice Address - Street 1:368 SEVILLA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6615
Practice Address - Country:US
Practice Address - Phone:305-446-1956
Practice Address - Fax:305-446-9110
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL83641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice