Pro Brite Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1855435 Issued in MA

Legal business name

PRO BRITE DENTAL

Practice address

948 Broadway
Everett, MA 02149-3128

Phone

(781) 708-5234

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Quyen Le Trab, DMD

Title

Dentist

Phone

(781) 780-5234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174051346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493128",
            "telephone_number": "781-708-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493128",
            "telephone_number": "781-708-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO BRITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAB",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-780-5234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1855435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tofigh Raayai, DMD MSCD

• Dental Clinic/Center in Everett, MA
• Providers in Everett, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.