Active NPI
Plev Bright PLC
- Dentist
- Brighton, MI
National Provider Identifier
1336673581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PLEV BRIGHT PLC
- Practice address
- 8379 W Grand River Ave
Brighton, MI 48116-2903 - Phone
- (810) 224-9550
- Fax
- (810) 229-3357
- NPI assigned
- Apr 14, 2017
- Last updated
- Apr 14, 2017
- 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
- Jason Bertollini
- Title
- PRM
- Phone
- (866) 273-8204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
8379 W Grand River Ave
Brighton, MI 48116-2903
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204
National Provider Directory
National Provider DirectoryLocations
8379 W Grand River Ave
Brighton, MI 48116
Phone (810) 224-9550
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Brighton, MI
- NPI 1346630787
-
- General Practice Dentistry
- Brighton, MI
- NPI 1083497945
-
- Dentist
- Los Angeles, CA
- NPI 1508531104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492128000000",
"number": "1336673581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "866-273-8204",
"fax_number": "315-410-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8379 W GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162903",
"telephone_number": "810-224-9550",
"fax_number": "810-229-3357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEV BRIGHT PLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A",
"authorized_official_last_name": "BERTOLLINI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRM",
"authorized_official_telephone_number": "866-273-8204"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.