Bright Dental P.C

Primary specialty

DentistTaxonomy code 122300000X

License

049014 Issued in NY

Legal business name

BRIGHT DENTAL P.C

Practice address

3907 Prince St Ste 4H
Flushing, NY 11354-5308

Phone

(718) 961-1628

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivy X. Wang, D.D.S

Title

President

Phone

(718) 961-1628

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053521732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 4H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 4H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545308",
            "telephone_number": "718-961-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-1628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02517600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brena M Desai Pediatrician PC
• Anna Brennan
• Lawrence Brenner
• Daniela Bresciani Padilla, MD
• Bridge Builders Marriage and Family Therapy, PC
• Bright Ember ABA LLC
• Bright Home Care Inc.
• Bright Horizon Prime Care Inc
• Bright Sight Optical Inc
• Bright Vision Family Eyecare Inc

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• 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.