Active NPI
Bright Choice Dental PLLC
- Dental Clinic/Center
- Dearborn, MI
National Provider Identifier
1568043545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BRIGHT CHOICE DENTAL PLLC
- Practice address
- 520 N Telegraph Rd
Dearborn, MI 48128-1658 - Phone
- (313) 982-7200
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Awwad
- Title
- Manager
- Phone
- (313) 982-7200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
520 N Telegraph Rd
Dearborn, MI 48128-1658
Mailing address
520 N Telegraph Rd
Dearborn, MI 48128-1658
National Provider Directory
National Provider DirectoryLocations
520 N Telegraph Rd
Dearborn, MI 48128
Phone (313) 524-1413
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Dearborn, MI
- NPI 1134790793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1568043545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N TELEGRAPH RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N TELEGRAPH RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281658",
"telephone_number": "313-982-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT CHOICE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2021-05-18",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "AWWAD",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-982-7200"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.