Bright Side Dental Troy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SIDE DENTAL TROY

Practice address

1777 Axtell Dr
Ste. 207
Troy, MI 48084-4404

Phone

(248) 649-3116

Fax

(248) 649-6768

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Peatris Sabbagh

Title

Chief Operating Officer

Phone

(248) 971-7435

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bianca Toma Boji, D.D.S.

  • General Practice Dentistry
  • Troy, MI
  • NPI 1134571854
  NPD (past)
• Douglas C. Glesmann, D.D.S.

  • General Practice Dentistry
  • Troy, MI
  • NPI 1124092580
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1417300765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "STE. 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-3116",
            "fax_number": "248-649-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "STE. 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-3116",
            "fax_number": "248-649-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE DENTAL TROY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "PEATRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "248-971-7435"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L. Moskovitz, M.D. PC
• Elizabeth Brendle
• Teresa Brennan
• Bright Dakroub LLC.
• Bright Home Health Care, Inc
• Bright Sky Counseling, PLLC
• Brightstar Care of Troy/Royal Oak
• Brigid Healthcare, PLLC
• Danny Basim Brikho, O.D.
• Natalie Brikho, PHARMD

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.