| Brilliant Smiles Dentistry, Pllc | |
|
5425 E Bell Rd Ste 143 Scottsdale AZ 85254-6010 | |
| (602) 953-1850 | |
| Not Available |
| Full Name | Brilliant Smiles Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5425 E Bell Rd Ste 143, Scottsdale, Arizona |
| Authorized Official Name and Position | Terry Peterson (OWNER) |
| Authorized Official Contact | 8014718141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smiles Dentistry, Pllc 5425 E Bell Rd Ste 143 Scottsdale AZ 85254-6010 Ph: (602) 953-1850 | Brilliant Smiles Dentistry, Pllc 5425 E Bell Rd Ste 143 Scottsdale AZ 85254-6010 Ph: (602) 953-1850 |
| NPI Number | 1215636501 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215636501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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