Brooklyn Bright Smile Dental, PC

Primary specialty

DentistTaxonomy code 122300000X

License

0539461 Issued in NY

Legal business name

BROOKLYN BRIGHT SMILE DENTAL, PC

Practice address

2020 Cortelyou Rd FL 1
Brooklyn, NY 11226-5904

Phone

(917) 696-1614

NPI assigned

Jan 9, 2011

Organization subpart

No

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

Authorized official

Name

Abdiyev Arthur, DDS

Title

Owner

Phone

(917) 696-1614

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1144524976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CORTELYOU RD FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265904",
            "telephone_number": "917-696-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CORTELYOU RD FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265904",
            "telephone_number": "917-696-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN BRIGHT SMILE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "ABDIYEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-696-1614",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0539461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0539461",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03034879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.