Bright Smile Denture Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SMILE DENTURE CENTER LLC

Practice address

5026 Bedford St
Detroit, MI 48224-2649

Phone

(313) 416-2085

Fax

(248) 478-0239

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn D. Phillips

Title

Office Administrator

Phone

(313) 416-2085

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1801967757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 BEDFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242649",
            "telephone_number": "313-416-2085",
            "fax_number": "248-478-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 BEDFORD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242649",
            "telephone_number": "313-416-2085",
            "fax_number": "248-478-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE DENTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "313-416-2085"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4821853",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Briggs, LMSW
• Courtnee Briggs, LLBSW
• Bright Connection Infusion Center
• Bright Eyes Home Solutions LLC
• Bright Perspectives Therapy
• Brooke Bright-Jordan
• Jerlyn Renay Bright-Thigpen, LLBSW
• Daylen Bright
• Justin Lee Bright, M.D.
• Tanija Bright

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, 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 Oct 17, 2007; 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.