| Brightside Dental, Llc | |
|
4731 S Cochise Dr Ste 110 Independence MO 64055-6975 | |
| (970) 901-9865 | |
| Not Available |
| Full Name | Brightside Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4731 S Cochise Dr Ste 110, Independence, Missouri |
| Authorized Official Name and Position | Brandy Lopez (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 9705968085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Dental, Llc 7900 College Blvd Ste 131 Overland Park KS 66210-2194 Ph: (970) 596-8085 | Brightside Dental, Llc 4731 S Cochise Dr Ste 110 Independence MO 64055-6975 Ph: (970) 901-9865 |
| NPI Number | 1316613607 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316613607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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