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BRITE SMILE DENTISTRY PC NPI 1790084549


NPI Information

NPI: 1790084549
Provider Name: BRITE SMILE DENTISTRY PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10645 W WARREN AVE STE 100
DEARBORN, MI
ZIP 48126
Phone: (313) 908-1863
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BRITE SMILE DENTISTRY PC is a general practice dentist in Dearborn, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRITE SMILE DENTISTRY PC NPI is 1790084549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10645 W WARREN AVE STE 100
DEARBORN, MI
ZIP 48126-009
Phone: (313) 908-1863

The provider's authorized official is Houssein C Harajli .
The authorized official title is President and has the following contact phone number (313) 942-1122.

The enumeration date for this NPI number is 3/18/2011 and was last updated on 3/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice2901017759MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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