SMILE BRIGHT DENTURE CENTER LLC NPI 1912085390

NPI Information

NPI: 1912085390
Provider Name: SMILE BRIGHT DENTURE CENTER LLC
Classification: Denturist - 122400000X
Entity Type: Organization
Address:
315 E CASINO RD
SUITE B
EVERETT, WA
ZIP 98208
Phone: (425) 355-4409
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SMILE BRIGHT DENTURE CENTER LLC is a denturist in Everett, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. SMILE BRIGHT DENTURE CENTER LLC NPI is 1912085390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 E CASINO RD
SUITE B
EVERETT, WA
ZIP 98208-846
Phone: (425) 355-4409

The provider's authorized official is Dung Q Pham .
The authorized official title is Denturist and has the following contact phone number (425) 355-4409.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/1/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		DN00000360	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	WASHINGTON	METROPLITAN LIFE INS.
2	=========	OTHER	WASHINGTON	AETNA INSURANCE
3	=========	OTHER	WASHINGTON	AMERITAS LIFE INSURANCE
4	=========	OTHER	WASHINGTON	GUARDIAN INSURANCE
5	=========	OTHER	WASHINGTON	REGENCE BLUE SHIELD
6	=========	OTHER	WASHINGTON	WASHINGTON DENTAL SERV.
7	504-9556	MEDICAID	WASHINGTON
8	504-5992	MEDICAID	WASHINGTON
9	=========	OTHER	WASHINGTON	THE STANDARD INSURANCE
10	=========	OTHER	WASHINGTON	PREMERA BLUE CROSS
11	=========	OTHER	WASHINGTON	CIGNA DENTAL PPO

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

NPI Synchronization or Removal

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