Organization · NPI-2

Bright Smiles Dental INC

Dentist, General Practice · Madison, AL

NPI number1649457607
StatusActive
Last updated in NPPESJan 22, 2008

Details

NPI
1649457607
Entity type
Organization (NPI-2)
Legal business name
Bright Smiles Dental INC
Organization subpart
No
Enumeration date
Jan 22, 2008
Last updated
Jan 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeAL5018ALYes

Practice location

8371 Highway 72 W Ste 208
Madison, AL 35758-9505

Phone 256-721-5961 · Fax 256-721-7950

Mailing address

8371 Highway 72 W Ste 208
Madison, AL 35758-9505

Phone 256-721-5961 · Fax 256-721-7950

Authorized official

Adel Vanessa Myrie
Owner
2567215961

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