Active NPI
Forever Bright Dental LLC
- Dental Laboratory Technician
- Pensacola, FL
National Provider Identifier
1972212934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory Technician
- Legal business name
- FOREVER BRIGHT DENTAL LLC
- Practice address
- 6565 N W St Ste 250
Pensacola, FL 32505-1720 - Phone
- (850) 418-7413
- NPI assigned
- Nov 18, 2022
- 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
- Brian Estrada
- Title
- Owner
- Phone
- (850) 418-7413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Laboratory Technician | 126900000X | Primary |
Addresses
Primary practice location
6565 N W St Ste 250
Pensacola, FL 32505-1720
Mailing address
6565 N W St Ste 250
Pensacola, FL 32505-1720
National Provider Directory
National Provider DirectoryLocations
6565 N W St
Ste 250
Pensacola, FL 32505
Phone (850) 418-7413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1972212934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 N W ST STE 250",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325051720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N W ST STE 250",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325051720",
"telephone_number": "850-418-7413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREVER BRIGHT DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "ESTRADA",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-418-7413"
},
"taxonomies": [
{
"code": "126900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Laboratory Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.