Brident Dental Associates of New Mexico PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRIDENT DENTAL ASSOCIATES OF NEW MEXICO PC

Practice address

530 S Main St
Orange, CA 92868-4525

Phone

(714) 480-3000

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

William Dembereckyj

Title

Evp Chief GWTH Strgy Officer

Phone

(714) 571-2140

Specialties & licenses 1

Addresses

Tax ID family

Brident Dental Associates of New Mexico PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brident Dental Associates of New Mexico PC

  • Dentist
  • Albuquerque, NM
  • NPI 1518643907
  NPD tax ID

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1033895495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684525",
            "telephone_number": "714-480-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684525",
            "telephone_number": "714-480-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDENT DENTAL ASSOCIATES OF NEW MEXICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "DEMBERECKYJ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EVP CHIEF GWTH STRGY OFFICER",
        "authorized_official_telephone_number": "714-571-2140"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Briceno, RN
• Nishan Amin Brick
• Shari P Brickin, MA, MFTI
• Gillian Bridenbaker
• Brident DDS PC
• Brident Dental Associates PC
• Brident Nevada Emily Lee DDS PC
• Pamela Rena Brider
• Miranda Austin Stiles Bridgwater
• Amy Louise Briggs, MD

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.