Active NPI
Bright Smile Family Dental LLC
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1245082437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRIGHT SMILE FAMILY DENTAL LLC
- Practice address
- 1466 Roswell Rd
Marietta, GA 30062-3670 - Phone
- (678) 402-7760
- Fax
- (678) 490-2422
- NPI assigned
- Apr 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaheen Sadaf, DMD
- Title
- Dentist
- Phone
- (305) 281-6128
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1466 Roswell Rd
Marietta, GA 30062-3670
Mailing address
1466 Roswell Rd
Marietta, GA 30062-3670
Phone (678) 402-7760
National Provider Directory
National Provider DirectoryLocations
1466 Roswell Rd
Marietta, GA 30062
Phone (678) 402-7760
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Homestead, FL
- NPI 1275763682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1245082437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 ROSWELL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623670",
"telephone_number": "678-402-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1466 ROSWELL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623670",
"telephone_number": "678-402-7760",
"fax_number": "678-490-2422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT SMILE FAMILY DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "SADAF",
"authorized_official_first_name": "SHAHEEN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "305-281-6128",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.