Bright Smiles Dental II, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22805 Issued in TX

Legal business name

BRIGHT SMILES DENTAL II, PC

Practice address

1907 S Hwy 183
Suite 206
Leander, TX 78641

Phone

(512) 259-5000

Fax

(512) 259-5001

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert K Hendricks, D.D.S.

Title

President

Phone

(512) 259-5000

Specialties & licenses 1

Addresses

Other names 1

• Bright Smiles Dental Doing business as

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1447504576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S HWY 183",
            "address_2": "SUITE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-259-5000",
            "fax_number": "512-259-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S HWY 183",
            "address_2": "SUITE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-259-5000",
            "fax_number": "512-259-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILES DENTAL II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-259-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia R Bowman, LPC
• Deborah Brake
• Jean D Brasseaux, MPT, DPT
• Zoe Brewer
• Aine Bridges, CCC-SLP
• Bright Spot Pediatric Therapy
• Craig Brooks III
• Kennedy Broussard
• Allison Marie Brown, LPC
• Adam Thomas Brunson, AG-CNS

• General Practice Dentistry in Leander, TX
• Providers in Leander, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.