NPI age
12 years
Enumerated 2013-09-25
● Active
Type 1 · Individual
DR. Dewayne Laverne Briscoe, DDS MD
Briscoe is 1 of 1 dentist providers in Sun Valley and 1 of 64 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-09-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 64 active dentist providers in Idaho.
NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Practice location
404 Fairway Loop
Sun Valley, ID 83353
Mailing address
Po Box 147
Sun Valley, ID 833530147
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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