| Brighten Dental Care | |
|
129 E Dania Beach Blvd Dania Beach FL 33004-3032 | |
| (954) 922-4633 | |
| Not Available |
| Full Name | Brighten Dental Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 129 E Dania Beach Blvd, Dania Beach, Florida |
| Authorized Official Name and Position | Chander Gupta (PRESIDENT) |
| Authorized Official Contact | 9549224633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighten Dental Care 129 E Dania Beach Blvd Dania Beach FL 33004-3032 Ph: (954) 922-4633 | Brighten Dental Care 129 E Dania Beach Blvd Dania Beach FL 33004-3032 Ph: (954) 922-4633 |
| NPI Number | 1942689831 |
|---|---|
| Provider Enumeration Date | 05/25/2015 |
| Last Update Date | 05/25/2015 |
| Medicare PECOS PAC ID | 7012221997 |
|---|---|
| Medicare Enrollment ID | O20150807013726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942689831 | NPI | - | NPPES |
| 0777889-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN10515 (Florida) | Primary |
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