Star Bright Onsite, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STAR BRIGHT ONSITE, LLC

Practice address

6709 White Horse Rd
Greenville, SC 29611-2503

Phone

(864) 246-0260

Fax

(864) 484-9449

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Robert Leslie Thomas, DMD

Title

Dentist

Phone

(864) 221-5368

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1578105482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DURSELY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213670",
            "telephone_number": "864-221-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 WHITE HORSE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112503",
            "telephone_number": "864-246-0260",
            "fax_number": "864-484-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR BRIGHT ONSITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-221-5368",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z30869",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Elisabeth Stanton, OTD
• Donald Reed Stanton II, FNP-BC
• Joshua Aaron Stanton, M.D.
• Gail Anderson Stapleton, MS, CGC
• Natalie Nicole Stapleton, PA-C
• Star Wholesalers LLC
• Vladimir Starcevic
• Abigail Starega, RBT
• Svetlana Starikova, PHARMD
• Alexis Stark

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.