| Bright Now Dental | |
|
667 Chestnut Commons Drive Elyria OH 44035 | |
| (440) 324-2310 | |
| (440) 324-9454 |
| Full Name | Bright Now Dental |
|---|---|
| Speciality | Dentist |
| Location | 667 Chestnut Commons Drive, Elyria, Ohio |
| Authorized Official Name and Position | Diane L Ulichney (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4403459068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Now Dental 6315 Pearl Rd Ste 201 Parma Heights OH 44130-3074 Ph: (440) 345-9068 | Bright Now Dental 667 Chestnut Commons Drive Elyria OH 44035 Ph: (440) 324-2310 |
| NPI Number | 1730363169 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730363169 | NPI | - | NPPES |
| 2497490 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19758 (Ohio) | Primary |
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