1St Brite Dental

Key facts

NPI

1487791422

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Dentistry 1223G0001X

Legal business name

1ST BRITE DENTAL

Practice address

2759 W 55TH St
Chicago, IL 60632

Phone

(773) 776-5277

Fax

(773) 776-5278

NPI assigned

Jan 31, 2007

Organization subpart

No

Authorized official

Name

Fadi M Aqel, DDS

Title

Dentist

Phone

(773) 776-5277

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487791422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60632",
            "telephone_number": "773-776-5277",
            "fax_number": "773-776-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60632",
            "telephone_number": "773-776-5277",
            "fax_number": "773-776-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST BRITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AQEL",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-776-5277",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

• 1938 Homecare Services
• 1977 Mesk
• 1977 Mesk Medical Group LLC
• 1Adem Homecare Illinois Inc.
• 1St American Dental
• 1St Choice Transportation, Inc
• 1St Family Dental Inc
• 1St Family Dental of Chicago Inc
• 1St Family Dental of Lincoln
• 1St Family Dental of Logan Square

All providers in Chicago, IL · General Practice Dentistry in Illinois