Organization Active NPI

Bright Dental LLC

  • Dental Clinic/Center
  • Lawrenceburg, IN
National Provider Identifier
1508188590
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12011357A Issued in IN
Legal business name
BRIGHT DENTAL LLC
Practice address
24173 State Line Rd.
Suite 100
Lawrenceburg, IN 47025-9999
Phone
(812) 656-8888
Fax
(812) 656-8016
NPI assigned
Feb 18, 2010
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Dr. Allen Daniels, DDSNPI 1942335401
Title
Owner
Phone
(812) 656-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12011357A IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

24173 State Line Rd.
Suite 100
Lawrenceburg, IN 47025-9999

Mailing address

24173 State Line Rd.
Suite 100
Lawrenceburg, IN 47025-9999
Phone (812) 656-8888

National Provider Directory

National Provider Directory

Locations

24173 Stateline Rd
Lawrenceburg, IN 47025
Phone (812) 656-8888

24173 Stateline Rd
Ste 100
Lawrenceburg, IN 47025
Phone (812) 656-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1508188590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24173 STATE LINE RD.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470259999",
            "telephone_number": "812-656-8888",
            "fax_number": "812-656-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24173 STATE LINE RD.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470259999",
            "telephone_number": "812-656-8888",
            "fax_number": "812-656-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-656-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011357A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.