Smile Bright Dental, CW, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DN14915 Issued in FL

Legal business name

SMILE BRIGHT DENTAL, CW, LLC

Practice address

1237 S Missouri Ave
Clearwater, FL 33756-9111

Phone

(727) 443-7353

Fax

(727) 443-2144

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rajin Patel, DMD

Title

Dentist

Phone

(813) 885-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1285012278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569111",
            "telephone_number": "727-443-7353",
            "fax_number": "727-443-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569111",
            "telephone_number": "727-443-7353",
            "fax_number": "727-443-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BRIGHT DENTAL, CW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-885-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "DN14915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.