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BRIGHT SIDE DENTAL TROY NPI 1417300765


NPI Information

NPI: 1417300765
Provider Name: BRIGHT SIDE DENTAL TROY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1777 AXTELL DR
STE. 207
TROY, MI
ZIP 48084
Phone: (248) 649-3116
Get Directions

BRIGHT SIDE DENTAL TROY is a general practice dentist in Troy, 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. BRIGHT SIDE DENTAL TROY NPI is 1417300765. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1777 AXTELL DR
STE. 207
TROY, MI
ZIP 48084-404
Phone: (248) 649-3116
Fax: (248) 649-6768

The provider's authorized official is Peatris Sabbagh .
The authorized official title is Chief Operating Officer and has the following contact phone number (248) 971-7435.

The enumeration date for this NPI number is 7/21/2016 and was last updated on 7/21/2016.


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 PracticeYes

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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