| Bright Smiles Pediatric Dentistry | |
|
196 Everest Ln Unit 1 Saint Johns FL 32259 | |
| (904) 239-1714 | |
| Not Available |
| Full Name | Bright Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 196 Everest Ln Unit 1, Saint Johns, Florida |
| Authorized Official Name and Position | Bryan Matthew Bright (OWNER/MANAGER) |
| Authorized Official Contact | 8594336146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smiles Pediatric Dentistry 196 Everest Ln Unit 1 Saint Johns FL 32259 Ph: (904) 239-1714 | Bright Smiles Pediatric Dentistry 196 Everest Ln Unit 1 Saint Johns FL 32259 Ph: (904) 239-1714 |
| NPI Number | 1598114233 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598114233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN21734 (Florida) | Primary |
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