Bright Side Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11295 Issued in MI

Legal business name

BRIGHT SIDE DENTAL

Practice address

16824 Newburgh Rd
Livonia, MI 48154-1600

Phone

(734) 591-4145

Fax

(734) 591-4168

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Derek Grytzelius, D.D.S.

Title

Dentist

Phone

(734) 591-4145

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark J Jacobs, DDS

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1598770273
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013118330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16824 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541600",
            "telephone_number": "734-591-4145",
            "fax_number": "734-591-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16824 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541600",
            "telephone_number": "734-591-4145",
            "fax_number": "734-591-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRYTZELIUS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-591-4145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Lyngaas, DDS, PLLC
• Barbara Anne Brick, LLMSW
• Bridge Home Health Care, Inc
• Bright Health Physical Therapy, Inc.
• Bright Road Counseling, LLC
• Samantha Brindley, DPT
• Mary Bringman
• Mary Brinning
• Rex Rosete Briones, D.D.S.
• Jessica Brobst, DPT

• General Practice Dentistry in Livonia, MI
• Providers in Livonia, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.