Brilliant Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026119 Issued in IL

Legal business name

BRILLIANT DENTAL LLC

Practice address

1400 W 75TH St
B1
Downers Grove, IL 60516

Phone

(630) 701-0702

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Lin, DDS

Title

President

Phone

(630) 701-0702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1487971545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 75TH ST",
            "address_2": "B1",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-701-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 75TH ST",
            "address_2": "B1",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-701-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-701-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Brennan Sr., DDS
• William Michael Brennan Jr., D.D.S.
• Frank W Bresemann, MA,LCPC
• Katie Jo Bresson, M.A. SLP
• Brightside Health, Inc.
• Brilliant Women Care, Inc
• Lynse Jo Briney, D.D.S.
• Richard W Brinkman, M.D.
• Patricia A. Brinskelle, AUD
• Margo D Bristow, MA, LPC, CADC, PCGC,

• General Practice Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.