| Radiant Flux Pllc | |
|
700 Independence Cir Ste 3b Virginia Beach VA 23455-6405 | |
| (757) 929-7100 | |
| (757) 929-7097 |
| Full Name | Radiant Flux Pllc |
|---|---|
| Speciality | Dentist |
| Location | 700 Independence Cir Ste 3b, Virginia Beach, Virginia |
| Authorized Official Name and Position | Brian Gene Briesemeister (OWNER) |
| Authorized Official Contact | 7579297100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Flux Pllc 1301 Bridgeport Way Suite 109 Suffolk VA 23435 Ph: (757) 484-1444 | Radiant Flux Pllc 700 Independence Cir Ste 3b Virginia Beach VA 23455-6405 Ph: (757) 929-7100 |
| NPI Number | 1053171462 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 6709263478 |
|---|---|
| Medicare Enrollment ID | O20250508000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053171462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Dentistry First, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5564 Indian River Rd, Virginia Beach, VA 23464 Phone: 757-366-5084 Fax: 757-366-5095 | |
Comfort Care Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Fordham Dr Ste 106, Virginia Beach, VA 23464 Phone: 757-451-7003 Fax: 757-420-2177 | |
D E Cleckner Jr. Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 N Lynnhaven Rd, Suite 105, Virginia Beach, VA 23452 Phone: 757-340-3231 Fax: 757-340-3231 | |
Red Mill Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Elson Green Ave Ste 101, Virginia Beach, VA 23456 Phone: 757-301-2064 | |
Pediatric Dental Care Of Tidewater Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2029 Lynnhaven Pkwy, Virginia Beach, VA 23456 Phone: 757-703-1923 | |
Bonney Road Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3933 Bonney Rd, Virginia Beach, VA 23452 Phone: 757-339-2154 | |
Scott R Goodove Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-412-2002 Fax: 757-412-2003 |