Individual provider · Type 1 NPI
Ivy Pauline Brisbin, DDS, MS
Pediatric Dentistry · Mebane, NC
NPI number
1376999342
Active
Practice location
1107 S Fifth St Ste 100
Mebane, NC 27302-9596
Mailing address
414 Morgan Creek Rd
Chapel Hill, NC 27517-4934
Other practice locations
- 228 Brauer Hl, Campus Box 7450, Chapel Hill, NC 27599-7450 · (919) 537-3955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 10451 (NC) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1376999342
Ivy Pauline Brisbin, DDS, MS's National Provider Identifier is 1376999342, issued on May 10, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mebane, NC. The record was last updated on Aug 13, 2019.