Bright Smile Americadental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7338 Issued in CT

Legal business name

BRIGHT SMILE AMERICADENTAL CENTER

Practice address

719 Cottage Grove Rd
Bloomfield, CT 06002-3040

Phone

(860) 242-5005

Fax

(860) 242-9998

NPI assigned

Mar 1, 2012

Organization subpart

No

Name

Dr. Robert Harris, DDSNPI 1366504508

Title

Owner

Phone

(860) 242-5005

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert R Harris, DDS

  • Dentist
  • Bloomfield, CT
  • NPI 1366504508
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2014.

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1295009751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 COTTAGE GROVE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023040",
            "telephone_number": "860-242-5005",
            "fax_number": "860-242-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 COTTAGE GROVE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023040",
            "telephone_number": "860-242-5005",
            "fax_number": "860-242-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE AMERICADENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-242-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008031624",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Elizabeth Bradley, APRN
• Katrina Alicia Brakoniecki, MD
• Jennifer Braun, RD
• Erica L Bresson, RN
• Brittany Erica Brice, LMSW
• Brighton Residential Services LLC
• Romiesha Briscoe
• Delrose Broderick, REGISTERED NURSE
• Mattia Brose, APRN
• David L Brown, MD

• All providers in Bloomfield, CT
• General Practice Dentistry in Connecticut

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