NPI 1003088873 · live from the CMS NPI Registry
Bright Smiles, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Mcdonough, GA. National Provider Identifier 1003088873, active.
NPI record
| NPI | 1003088873 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 907 Pavilion Ct, Mcdonough, GA 30253 |
| Practice phone | 678-583-8536 |
| Enumerated | April 1, 2008 |
| Last updated | April 1, 2008 |
| Authorized official | Shunda Thompson, Owner |
| Other names | Bright Smiles Orthodontics And Pediatric Dentistry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | dn012649 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.