Provider Demographics
NPI:1487985032
Name:BRIGHT DENTAL, INC.
Entity type:Organization
Organization Name:BRIGHT DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN-CHEN
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-420-2465
Mailing Address - Street 1:2753 FORGUE DR.
Mailing Address - Street 2:SUITE 118
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4161
Mailing Address - Country:US
Mailing Address - Phone:630-420-2465
Mailing Address - Fax:630-420-7566
Practice Address - Street 1:2752 FORGUE DR.
Practice Address - Street 2:SUITE 118
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4161
Practice Address - Country:US
Practice Address - Phone:630-420-2465
Practice Address - Fax:630-420-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019023005251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health