Individual
GLENN C BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47388 HUI IWA ST, KANEOHE, HI 96744
(808) 239-6711
(808) 239-6706
Mailing address
47388 HUI IWA ST, KANEOHE, HI 96744
(808) 239-6711
(808) 239-6706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1073
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04146901
—
HI
01
—
045643
HMSA
HI
01
—
811517
TRICARE
HI
Enumeration date
03/12/2007
Last updated
07/08/2007
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