Brilliant Smiles Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046446 Issued in NY

Legal business name

BRILLIANT SMILES DENTAL, PC

Practice address

820 Flatbush Ave
Brooklyn, NY 11226-3102

Phone

(718) 693-9811

Fax

(718) 693-2577

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Hussein Y Abdelwahab, DDS

Title

President

Phone

(718) 693-9811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1588834014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263102",
            "telephone_number": "718-693-9811",
            "fax_number": "718-693-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263102",
            "telephone_number": "718-693-9811",
            "fax_number": "718-693-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ABDELWAHAB",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-693-9811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Briller, SLP
• Brilliant Birdies LLC
• Brilliant Dental & Associates, PC
• Brilliant Dental, PC
• Brilliant Kids, LLC
• Jeanine Brilliant-Mary
• Judith Jay Brilliant, PHD
• Bria Brim
• Coleen Brim
• Slava Brim

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.