NPIMap

Organization Active NPI

Bright Smiles Family Dentsitry, LLC

  • Dentist
  • South Milwaukee, WI
National Provider Identifier
1053757096
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6887-15 Issued in WI
Legal business name
BRIGHT SMILES FAMILY DENTSITRY, LLC
Practice address
801 Milwaukee Ave
South Milwaukee, WI 53172-2115
Phone
(414) 762-2300
NPI assigned
May 16, 2013
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Sarah J Mulloy, DDSNPI 1245590777
Title
Owner Operator
Phone
(414) 762-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6887-15 WI Primary

Addresses

Primary practice location

801 Milwaukee Ave
South Milwaukee, WI 53172-2115

Mailing address

801 Milwaukee Ave
South Milwaukee, WI 53172-2115

National Provider Directory

National Provider Directory

Locations

801 Milwaukee Ave
South Milwaukee, WI 53172
Phone (414) 762-2300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1053757096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MILWAUKEE AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MILWAUKEE AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722115",
            "telephone_number": "414-762-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILES FAMILY DENTSITRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "414-762-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6887-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.