| Bright Now Dental | |
|
4785 Leavitt Rd Lorain OH 44053-2136 | |
| (440) 282-6677 | |
| (440) 282-3496 |
| Full Name | Bright Now Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4785 Leavitt Rd, Lorain, 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 4785 Leavitt Rd Lorain OH 44053-2136 Ph: (440) 282-6677 |
| NPI Number | 1821272048 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821272048 | NPI | - | NPPES |
| 0444666 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19758 (Ohio) | Primary |
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