Bright Side Dental Clarkston

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SIDE DENTAL CLARKSTON

Practice address

55 S Main St
Clarkston, MI 48346-1527

Phone

(248) 625-2066

Fax

(248) 625-6603

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Peatris Sabbagh

Title

Chief Operating Officer

Phone

(248) 971-7435

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1609229053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461527",
            "telephone_number": "248-625-2066",
            "fax_number": "248-625-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461527",
            "telephone_number": "248-625-2066",
            "fax_number": "248-625-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE DENTAL CLARKSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "PEATRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "248-971-7435"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikia Brandon, LPN
• Harshan Brar
• Andrew Breen, LMSW
• Megan Neva Breese, BEHAVIOR TECHNICIAN
• Brian Davidson DDS PC
• Jasmine Symone Bright
• Brighter Tomorrow Wellness Center
• Julia A. Brinkmann, LMSW, ACSW
• Constance Brock
• Jacob Alan Brokenshaw, DPT

• General Practice Dentistry in Clarkston, MI
• Providers in Clarkston, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.