| Brighter Smiles Family Dentistry, P.c. | |
|
947 S Lake Blvd Suite A Mahopac NY 10541-3254 | |
| (845) 621-2424 | |
| (845) 621-1360 |
| Full Name | Brighter Smiles Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 947 S Lake Blvd, Mahopac, New York |
| Authorized Official Name and Position | Christopher Sun Lee (PRESIDENT) |
| Authorized Official Contact | 8456212424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Smiles Family Dentistry, P.c. 947 S Lake Blvd Suite A Mahopac NY 10541-3254 Ph: (845) 621-2424 | Brighter Smiles Family Dentistry, P.c. 947 S Lake Blvd Suite A Mahopac NY 10541-3254 Ph: (845) 621-2424 |
| NPI Number | 1003190661 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 8224399035 |
|---|---|
| Medicare Enrollment ID | O20180219000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003190661 | NPI | - | NPPES |
| Provider Name | Imanuel Babayev |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477840270 PECOS PAC ID: 4284929282 Enrollment ID: I20170804001472 |
| Provider Name | Christopher S Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346217767 PECOS PAC ID: 0648497073 Enrollment ID: I20180219000683 |
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