Individual
DR. PAUL W BRINSER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
(804) 717-5275
(804) 748-4017
Mailing address
11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
(804) 717-5275
(804) 748-4017
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01453193
UNITED CONCO
—
01
—
386682
ANTHEM BCBS
—
01
—
386684
ANTHEM BCBS
—
01
—
386686
ANTHEM BCBS
—
Enumeration date
06/30/2006
Last updated
07/08/2007
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