Matthew Bright, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21734 Issued in FL

Practice address

196 Everest LN
Unit 1
Saint Johns, FL 32259-4102

Phone

(904) 239-1714

NPI assigned

Jun 17, 2014

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Smiles Pediatric Dentistry Nassau LLC

  dba Bright Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Fernandina Beach, FL
  • NPI 1710595509
  NPD (past)
• Jacksonville Tongue Tie LLC

  • Pediatric Dentistry
  • Saint Johns, FL
  • NPI 1831858067
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1356755474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 EVEREST LN",
            "address_2": "UNIT 1",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594102",
            "telephone_number": "904-239-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 EVEREST LN",
            "address_2": "UNIT 1",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594102",
            "telephone_number": "904-239-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463725 State Road 200 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320978671",
            "country_code": "US",
            "telephone_number": "904-849-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9463",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Braasch, CST/CSFA
• Juanita Denae Bracy, PA-C, MPA, ATC, MED.
• Breakthrough Behavior Consultation, LLC
• Bright Future of North Florida, LLC (Priority Mental Health)
• Bright Smiles Pediatric Dentistry, PLLC
• Briea Anne Brinson, MS CCC SLP
• Joshua Jeffrey Broadway
• Briana Brown, DPT
• Sharon Lynn Brown, APRN
• Olivia Michelle Bullock, DO

• Pediatric Dentistry in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.