LUMEN FLUX PLLC (NPI# 1871158691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871158691 |
| Entity Type | Organization |
| Organization Name | LUMEN FLUX PLLC |
| Practice Address |
5501 Bennett's Pasture Road Suite D Suffolk VA 23435 |
| Practice Telephone | 7574841444 |
| Practice Fax Number | 7574843712 |
| Mailing Telephone | 7574841444 |
| Mailing Fax Number | 7574843712 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | DR. BRIAN GENE BRIESEMEISTER JR. (DENTIST) |
| Authorized Official Telephone | 7574841444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ATLANTIC DENTAL CARE, PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| A Division Of Atlantic Dental Care | Doing Business As Name - Organization |
| Street Address |
5501 BENNETT'S PASTURE ROAD SUITE D |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| 1740422922 | Harris Teeter, LLC | Pharmacy | 7386 Harbour Towne Pkwy, Suffolk, VA 23435 | 2009-04-02 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205202256 | Brian Gene Briesemeister Jr. | Dentist | 5501 Bennetts Pasture Rd, Suffolk, VA 23435-1500 | 2015-08-13 |
| 1841605722 | Whitney Bailey Gwaltney | Dentist | 2486 Pruden Blvd., Suffolk, VA 23434 | 2014-06-30 |
| 1992006449 | Lynne C. Faxio, Dds, P.C. | Dentist | 2999 Corporate Ln, Suite B11, Suffolk, VA 23434-8478 | 2010-11-14 |
| 1588810139 | Lynne Carol Faxio | Dentist | 2999 Corporate Lane Ste B11, Suffolk, VA 23435-3572 | 2008-08-14 |
| 1962678839 | Bowman R Browne Dds PC | Dentist | 5705 Lee Farm Lane, Suite B, Suffolk, VA 23435 | 2008-05-01 |
| 1619180114 | Timothy Ferramosca | Dentist | 5501 Bennetts Pasture Rd # Stdd, Suffolk, VA 23435-1500 | 2007-05-08 |
| 1194948539 | Christopher Oswald | Dentist | 5113 Gleneagles Way, Suffolk, VA 23435-4206 | 2007-04-11 |
| 1437293941 | Charles H Rawls Jr. | Dentist | 2900 Godwin Boulevard, Suffolk, VA 23434 | 2007-02-16 |
| 1407922644 | Estelito Moreno Santos Jr. | Dentist | 5849 Harbour View Blvd, Suite 100, Suffolk, VA 23435-3768 | 2006-11-28 |
| 1437250560 | Joseph Ross Wilson | Dentist | 2999 Corporate Lane, Suite B-9, Suffolk, VA 23434 | 2006-09-25 |
| Find all providers in SUFFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.