Brite Dental Minnesota P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12501 Issued in MN

Legal business name

BRITE DENTAL MINNESOTA P.C.

Practice address

334 East Lake St.
Minneapolis, MN 55408

Phone

(708) 439-4655

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Fadi M. Agel, DDS

Title

Owner/General Dentist

Phone

(708) 439-4655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1134446370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 EAST LAKE ST.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "708-439-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 EAST LAKE ST.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "708-439-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE DENTAL MINNESOTA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "AGEL",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "708-439-4655",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Briscoe
• Isaac Brist, DC
• Bristol Place Corporation
• Bristol Place Home Health Services, Inc.
• Bristol Place Home Health Services, Inc.
• Leonardo Brito de Almeida, M.D.
• Brittan Donohoe Inc
• Courtney Britten
• Jennifer Lee Britton, LICSW
• Paige Brlecic, MD

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.