BRIGHT SMILES DENTAL PROGRAM


Address: 153 Cesar Chavez St, Saint Paul, MN 55107-2226
Phone: 6516027500

BRIGHT SMILES DENTAL PROGRAM (NPI# 1427519529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427519529
Entity Type Organization
Organization Name BRIGHT SMILES DENTAL PROGRAM
Practice Address 153 Cesar Chavez St
Saint Paul
MN 55107-2226
Practice Telephone 6516027500
Practice Fax Number 6516027580
Mailing Telephone 6516027500
Mailing Fax Number 6516027580
Enumeration Date 2019-03-29
Last Update Date 2019-03-29
Authorized Official Name BLAKE DARSOW (CFO)
Authorized Official Telephone 6516027537
Is Organization Subpart Y
Parent Organization Name WEST SIDE COMMUNITY HEALTH SERVICE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 153 CESAR CHAVEZ ST
City SAINT PAUL
State MN
Zip Code 55107-2226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104820661 Carrie S Dickson Advanced Practice Midwife 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2005-06-10
1700493137 Carolina Gentry Social Worker 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2020-09-29
1740890334 Quest Diagnostics Clinical Medical Laboratory 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2020-08-07
1316589195 Sara Saini Maki Pharmacist 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-10-13
1912556457 Christine Jo Singer Registered Nurse 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-09-07
1831745025 Antionette Renee Estis Advanced Practice Midwife 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-08-13
1467006700 Faisa Hassan Abdi-omar Midwife 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-07-25
1790338754 Mikaela Pierson Physician Assistant 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2019-07-18
1275005464 Eli Eggen Pharmacist 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2018-12-28
1689159360 Morgan Llewellyn Mcdonald Weinert Nurse Practitioner 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2018-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477944809 Marina Castillo Counselor 143 Isabel St. W, Saint Paul, MN 55107 2015-02-06
1134540123 Michelle M Lee Social Worker 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 2013-12-18
1376748574 Mary E. A. Horoshak Physical Therapist 155 S Wabasha St, Suite 130, St. Paul, MN 55107 2007-06-18
1821156050 Amherst H. Wilder Foundation Assisted Living Facility 469 Ada St, Saint Paul, MN 55107 2006-12-04
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1780753681 Chad Randal Vickers Nurse Practitioner 135 Colorado Street East, Saint Paul, MN 55107 2006-11-06
1225122872 Elizabeth E Frost Family Medicine 153 Cesar Chavez Street, St Paul, MN 55107 2006-10-03
1215457890 Elizabeth Smith Zaremba Dietitian, Registered 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 2017-06-23
1366819609 Brittany Leach Advanced Practice Midwife 624 Smith Ave S, Saint Paul, MN 55107 2015-08-21
1003293101 Huiying Guo Family Medicine 205 Wabasha St S, Saint Paul, MN 55107 2015-04-28
Find all providers in zip 55107

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144860685 Mn Community Care- Downtown Clinic Dental Clinic/Center 424 Dorothy Day Place, Saint Paul, MN 55102-1025 2020-01-13
1184980112 St. Anthony Park Dental Arts, P.a. Clinic/Center 2282 Como Ave, Saint Paul, MN 55108-1722 2012-04-04
1417007436 West Side Community Health Services, Inc. Clinic/Center 478 Robert St S, Saint Paul, MN 55107-2236 2007-01-11
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1154933661 Grand Avenue Dental, LLC Clinic/Center 960 Grand Ave, Saint Paul, MN 55105-3014 2020-08-18
1043870645 St Paul Oral Surgery and Dental Implants LLC Clinic/Center 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 2019-06-17
1033675871 N&m Dds Clinic/Center 483 Brimhall St, Saint Paul, MN 55116-1508 2019-02-18
1871064105 Luna Land Dental, Corp. Clinic/Center 1215 Rice St, Saint Paul, MN 55117-4538 2018-12-16
1689181489 Luna Land Dental, Corp. Clinic/Center 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673 2018-01-03
1144735234 Lisa Mcgann, Dds, Pa Clinic/Center 757 Cleveland Ave S Ste 2, Saint Paul, MN 55116-1301 2017-12-11
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55107

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Dataset Information

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.

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