Brite Smile Center, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17022 Issued in MI

Legal business name

BRITE SMILE CENTER, PC

Practice address

33020 Palmer Rd
Westland, MI 48186-5519

Phone

(734) 728-6900

Fax

(734) 728-6901

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Haytham A Fares, DDS

Title

Owner/ Presiden

Phone

(734) 728-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1194148387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33020 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865519",
            "telephone_number": "734-728-6900",
            "fax_number": "734-728-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33020 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865519",
            "telephone_number": "734-728-6900",
            "fax_number": "734-728-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE SMILE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PRESIDEN",
        "authorized_official_telephone_number": "734-728-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamarco Branch
• Becky Sue Brant, LMSW
• Regina Madison Breman, SOCIAL WORKER,BSW
• Brent L Carey, DDS, PC
• Shirley Brewer
• Robert Coleman Brock, D.O.
• Octavia Bronaugh
• Andrea M. Brooke, RPH
• Carol Marie Brossia, LMSW
• Yolanda Brown-Spidell, MA

• General Practice Dentistry in Westland, MI
• Providers in Westland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.