Organization Active NPI

Bright Smiles Dental

  • General Practice Dentistry
  • Chesterfield, VA
National Provider Identifier
1972055770
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412847 Issued in VA
Legal business name
BRIGHT SMILES DENTAL
Practice address
7205 Hancock Village Dr
Chesterfield, VA 23832-2782
Phone
(804) 332-6310
Fax
(804) 510-0622
NPI assigned
Oct 27, 2016
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Davis Gardner, DDS
Title
Dentist/Owner
Phone
(804) 332-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401412847 VA Primary

Addresses

Primary practice location

7205 Hancock Village Dr
Chesterfield, VA 23832-2782

Mailing address

7205 Hancock Village Dr
Chesterfield, VA 23832-2782
Phone (804) 332-6310

National Provider Directory

National Provider Directory
Tax ID family
Bright Smiles Dental2 organizations share this tax ID, including this one
Part of
Russell Mosher DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7205 Hancock Village Dr
Chesterfield, VA 23832
Phone (804) 332-6310

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1972055770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 HANCOCK VILLAGE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322782",
            "telephone_number": "804-332-6310",
            "fax_number": "804-510-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 HANCOCK VILLAGE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322782",
            "telephone_number": "804-332-6310",
            "fax_number": "804-510-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILES DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "804-332-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.