Bright Side Dental Bloomfield Hills

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SIDE DENTAL BLOOMFIELD HILLS

Practice address

2550 S Telegraph Rd
Suite 104
Bloomfield Hills, MI 48302-0950

Phone

(248) 292-0188

Fax

(248) 292-0187

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

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": "1639522980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-292-0188",
            "fax_number": "248-292-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-292-0188",
            "fax_number": "248-292-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIDE DENTAL BLOOMFIELD HILLS",
        "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": []
}

• Norman H Brant, D.P.M
• Alanah Bratley, PHARMD
• Lara Brazle, LLMFT
• Andrea Brenton, RN
• Shelby Brewington, PA-C
• Bright Side Sleep Solutions, PLLC
• Adam Brode I
• Amy Lynn-Opperer Brode, DO
• Howard S Brode, M.D.
• Marcy Palmer Broder, L.M.S.W.

• General Practice Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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.