Jessica John Brisbois, DDS

NPI #1659768232 in Grosse Pointe Woods, Michigan

Provider Information

NPI Number: 1659768232
Entity Type: Individual
Name: Jessica John Brisbois, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 21, 2015
Last Updated: Oct 1, 2021

Practice Location

Address: 20136 MACK AVE
City: Grosse Pointe Woods
State: Michigan
ZIP Code: 48236-1820
Phone: (313) 886-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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