Organization Active NPI

Forever Bright Dental LLC

  • Dental Laboratory Technician
  • Pensacola, FL
National Provider Identifier
1972212934
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Laboratory TechnicianTaxonomy code 126900000X
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

Updated by the provider on Nov 18, 2022

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)CodeLicenseStatePrimary
Dental Laboratory TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.