Provider Demographics
NPI:1437907987
Name:BRIGHT DENTS LLC
Entity type:Organization
Organization Name:BRIGHT DENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-342-9215
Mailing Address - Street 1:10 FISHER ST APT 4301
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2990
Mailing Address - Country:US
Mailing Address - Phone:240-342-9215
Mailing Address - Fax:
Practice Address - Street 1:1288 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1851
Practice Address - Country:US
Practice Address - Phone:774-770-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental