Active NPI
Bright Smiles Dental Care , Inc
- Dentist
- Elizabethtown, KY
National Provider Identifier
1770854630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8387
- Legal business name
- BRIGHT SMILES DENTAL CARE , INC
- Practice address
- 2900 Ring Rd
Elizabethtown, KY 42701-7934 - Phone
- (270) 737-6453
- Fax
- (270) 737-0801
- NPI assigned
- Jan 24, 2012
- Last updated
- Jun 10, 2014
- 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
- Dr. Sana M Aburob, D.M.D
- Title
- Owner Dentist
- Phone
- (270) 737-6453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8387 | KY | Primary |
Addresses
Primary practice location
2900 Ring Rd
Elizabethtown, KY 42701-7934
Mailing address
2900 Ring Rd
Elizabethtown, KY 42701
Phone (270) 737-6453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100051530 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
2900 Ring Rd
Elizabethtown, KY 42701
Phone (270) 737-0591
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Elizabethtown, KY
- NPI 1659571594
-
- Dentist
- Elizabethtown, KY
- NPI 1750492245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1770854630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-737-6453",
"fax_number": "270-737-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017934",
"telephone_number": "270-737-6453",
"fax_number": "270-737-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT SMILES DENTAL CARE , INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "ABUROB",
"authorized_official_first_name": "SANA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "270-737-6453",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100051530",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.