| Bright Smile Dental Care, Psc | |
|
60 Stonecrest Ct Suite 200 Shelbyville KY 40065-8157 | |
| (502) 633-1819 | |
| (502) 633-1817 |
| Full Name | Bright Smile Dental Care, Psc |
|---|---|
| Speciality | Dentist |
| Location | 60 Stonecrest Ct, Shelbyville, Kentucky |
| Authorized Official Name and Position | Sana M Aburob (OWNER DENTIST) |
| Authorized Official Contact | 2707341967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smile Dental Care, Psc 60 Stonecrest Ct Suite 200 Shelbyville KY 40065-8155 Ph: (502) 633-1819 | Bright Smile Dental Care, Psc 60 Stonecrest Ct Suite 200 Shelbyville KY 40065-8157 Ph: (502) 633-1819 |
| NPI Number | 1487921466 |
|---|---|
| Provider Enumeration Date | 11/19/2011 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487921466 | NPI | - | NPPES |
| 7100051530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8387 (Kentucky) | Secondary |
| 122300000X | Dentist | 8112 (Kentucky) | Primary |
| 122300000X | Dentist | 9059 (Kentucky) | Secondary |
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