Mark William Brisley, DDS

General Practice Dentistry · Laguna Beach, CA

Individual Active NPI

NPI number 1356438121

Practice location

618 Glenneyre St.
Laguna Beach, CA 92651
Phone
(949) 497-2342
Fax
(949) 376-5740

Open in Google Maps

NPI record

NPI
1356438121
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 034307 CA

About Dr. Brisley

Mark William Brisley, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 618 Glenneyre St., Laguna Beach, CA 92651. The NPI number 1356438121 was assigned on October 5, 2006 and the record was last updated on July 8, 2007.

Dr. Brisley lists a license in the registry: #034307 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark William Brisley, DDS?

The NPI number is 1356438121.

What is the phone number of Dr. Brisley?

The phone number listed for the practice location is (949) 497-2342.

Where is Dr. Brisley located?

618 Glenneyre St., Laguna Beach, CA 92651.

What is the taxonomy code for Dr. Brisley?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Laguna Beach

All General Practice Dentistry providers in Laguna Beach, CA →