BRIGHT DENTAL 1 LLC (NPI# 1649723412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649723412 |
| Entity Type | Organization |
| Organization Name | BRIGHT DENTAL 1 LLC |
| Practice Address |
1300 W Lincoln Ave Milwaukee WI 53215-3127 |
| Practice Telephone | 4143787971 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | DR. SHAM CHANDOK (DENTIST) |
| Authorized Official Telephone | 4143787971 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1300 W LINCOLN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
| 1205441490 | Ayas Makki | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2020-09-14 |
| 1740808302 | Melissa Corado | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2020-07-10 |
| 1689102667 | Mohammed M Alsamarraie | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752862 | Edp of Wisconsin, PC | Dentist | 1825 N Martin Luther King Dr, Milwaukee, WI 53212-3673 | 2019-07-19 |
| 1245742733 | D2 Dental of Wisconsin, S.c. | Dentist | 1838 S 15th St, Milwaukee, WI 53204-3225 | 2017-10-25 |
| 1003337494 | Anne Katherine Press | Dentist | 5000 National Dr, Milwaukee, WI 53295-0001 | 2017-07-06 |
| 1942739610 | Scott Thomas Boyer | Dentist | 1017 S 2nd St Unit 305, Milwaukee, WI 53204-1885 | 2017-06-07 |
| 1477908648 | Reem Mahjoub | Dentist | 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 | 2016-04-25 |
| 1215381009 | Katherine Lynn Pauly | Dentist | 270 E Highland Ave Apt 236, Milwaukee, WI 53202-6638 | 2016-04-18 |
| 1154794584 | Familia Dental River Glen LLC | Dentist | 142 E Capitol Dr, Milwaukee, WI 53212-1206 | 2015-11-06 |
| 1609259266 | Familia Dental Mkemitchell LLC | Dentist | 821 S Layton Blvd, Milwaukee, WI 53215-1225 | 2015-07-01 |
| 1174811640 | Juhi Yadava | Dentist | 710 W Mitchell St, Milwaukee, WI 53204-3556 | 2011-07-18 |
| 1730474511 | Gloria Lee | Dentist | 5341 W Fond Du Lac Ave, Milwaukee, WI 53216-1365 | 2011-06-09 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on BRIGHT DENTAL 1 LLC.
| 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.