Bright Smile Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

12010747A Issued in IN

Legal business name

BRIGHT SMILE DENTAL CARE

Practice address

9931 Eller Rd
Fishers, IN 46038-1866

Phone

(317) 845-5100

Fax

(317) 845-5200

NPI assigned

Nov 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sung H Kong, DDSNPI 1063535698

Title

Dentist/Owner

Phone

(317) 845-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung Hyon Kong, DDS

  • Dentist
  • Fishers, IN
  • NPI 1063535698
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1003213646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 ELLER RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381866",
            "telephone_number": "317-845-5100",
            "fax_number": "317-845-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 ELLER RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381866",
            "telephone_number": "317-845-5100",
            "fax_number": "317-845-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "317-845-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010747A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Breeden, RD, LDN
• Lucia Brewer
• Angela Bricker, BCABA
• Doris Bridges
• Bruce Gordon Briggs, LMHC
• Brighter Horizons LLC
• Brightline Community Care
• Rachel Ann Briscoe, MS, JD
• Kiara Britt, ATC
• Sydney Britt

• Dentist in Fishers, IN
• Providers in Fishers, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.