BRIGHTER DENTAL, IMPLANT PC. (NPI# 1285193334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285193334 |
Entity Type | Organization |
Organization Name | BRIGHTER DENTAL, IMPLANT PC. |
Practice Address |
820 Suffolk Ave Brentwood NY 11717-4498 |
Practice Telephone | 6312315566 |
Practice Fax Number | 6312310561 |
Mailing Telephone | 6312315566 |
Mailing Fax Number | 6312310561 |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |
Authorized Official Name | DR. MATTHEW GHADAMI (DENTIST) |
Authorized Official Telephone | 6312315566 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Brighter Dental, Implant PC. | Doing Business As Name - Organization |
Street Address |
820 SUFFOLK AVE |
City | BRENTWOOD |
State | NY |
Zip Code | 11717-4498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912026840 | Manilal I.patel Dentist PC | Dentist | 820 Suffolk Ave, Brentwood, NY 11717-4498 | 2007-03-29 |
1831329135 | Rools Deslouches | Nurse Practitioner | 820 Suffolk Ave, Brentwood, NY 11717-4498 | 2009-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
Find all providers in zip 11717 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346827 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2221 Balfour Rd Ste D, Brentwood, CA 94513-4932 | 2020-01-30 |
1790165140 | Dental Edge.net | Clinic/Center | 6980 Moores Ln, Brentwood, TN 37027-2908 | 2015-06-01 |
1639436181 | Missouri College, Inc. | Clinic/Center | 1405 S Hanley Rd, Brentwood, MO 63144-2902 | 2012-04-20 |
1174169874 | Gulshan Kumar Dds Inc. | Clinic/Center | 7760 Brentwood Blvd Ste A, Brentwood, CA 94513-1062 | 2019-11-18 |
1881248854 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2201 Balfour Rd Ste A, Brentwood, CA 94513-4927 | 2019-07-29 |
1326691551 | Phillip A. Kemp D.d.s. Pllc | Clinic/Center | 5110 Maryland Way Ste 190, Brentwood, TN 37027-7508 | 2019-07-17 |
1144732686 | Sleep Better Tennessee | Clinic/Center | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2017-10-24 |
1730481540 | Brentwood Pediatric Dentistry, LLC | Clinic/Center | 95 Seaboard Ln, Suite 102, Brentwood, TN 37027-3031 | 2010-11-30 |
1003136722 | Cecilia Topacio Fejarang, Dmd, Inc. | Clinic/Center | 141 Sand Creek Rd, Suite G, Brentwood, CA 94513-7390 | 2010-06-03 |
1992955306 | Liberty Dental Group | Clinic/Center | 6440 Brentwood Blvd Ste B, Brentwood, CA 94513-2190 | 2008-09-22 |
Find all providers in BRENTWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.