Bright Dental Racine LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIGHT DENTAL RACINE LLC

Practice address

2705 Douglas Ave
Racine, WI 53402-4113

Phone

(262) 297-7977

NPI assigned

Aug 1, 2020

Organization subpart

No

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

Authorized official

Name

Syed Rehman, DMD

Title

Owner

Phone

(262) 297-7977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596240000000",
    "number": "1487264891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534024113",
            "telephone_number": "262-297-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534024113",
            "telephone_number": "262-297-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DENTAL RACINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-297-7977",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Braun, PHD
• Leslie Lee Breidenbach, L.P.N.
• John F. Brennan, MD
• Ashley Brenner
• Joy Briggs, MD
• Kenya Kay Bright, MS
• Brighter Day Afh LLC
• Brightpath Transport LLC
• Jennifer J. Brittig, M.D.
• Deanna Lynn Brookins

• Dental Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.