Brilliant Smiles Dental Group - Pottstown LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS035966 Issued in PA

Legal business name

BRILLIANT SMILES DENTAL GROUP - POTTSTOWN LLC

Doing business as

Pottstown Family Dental Spa

Practice address

728 E High St
Pottstown, PA 19464-5776

Phone

(610) 323-1633

NPI assigned

Jan 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Aitken, DDS

Title

President

Phone

(610) 323-1633

Specialties & licenses 1

Addresses

Other names 1

• Pottstown Family Dental Spa Doing business as

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1285811760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645776",
            "telephone_number": "610-323-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645776",
            "telephone_number": "610-323-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES DENTAL GROUP - POTTSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-27",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-323-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS035966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pottstown Family Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne J Bricker
• Jania Shanel Bridges
• Ann Bridy, MA, RD, LDN, CNSC
• Ashley Brier, DMD
• Nancy C Briggs, MFT
• Alexandra Bringhurst
• Jana Brinkley
• Cathie Kerley Briscoe, LMFT
• Jesica Broadnax
• Briana Brogan

• Dental Clinic/Center in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.