Bright Smiles, P.A. in Baltimore - Dental
Bright Smiles, P.A. - NPI 1205013554
Bright Smiles, P.A. is a Dental in Baltimore, Maryland. Bright Smiles, P.A. practices all healthcare services and medical treatments related to Dental. The NPI Number for Bright Smiles, P.A. is 1205013554. The last update date is 2014-11-13.
Bright Smiles, P.A.'s current location address is 4115 Wilkens Ave Ste 101, Baltimore, Maryland. You can contact this provider via phone number 4107379666 and fax number 4107379667. The mailing address for Bright Smiles, P.A. is 4115 Wilkens Ave Ste 101, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bright Smiles, P.A. |
|---|---|
| Address | 4115 Wilkens Ave Ste 101, Baltimore, Maryland |
| Phone Number | 4107379666 |
| Fax Number | 4107379667 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kumarachandran Shankari |
| Credentials | D.D.S. |
| Telephone Number | 4107379666 |
NPI Number Detail
| NPI Number | 1205013554 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2014-11-13 |
Provider Mailing Address Detail
| Address | 4115 Wilkens Ave Ste 101 |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212294750 |
| Phone Number | 4107379666 |
| Fax Number | 4107379667 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 11814 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 404887300 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bright Smiles, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Bright Smiles, P.A. has been assigned the NPI (National Provider Identifier) 1205013554. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Bright Smiles, P.A.'s facilities are geographically located?
The facilities of Bright Smiles, P.A. are physically situated at the following location: 4115 Wilkens Ave Ste 101, Baltimore, MD, 212294750.
What is the area of specialization for Bright Smiles, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bright Smiles, P.A. is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Bright Smiles, P.A. receive its 1205013554 assignment from the Centers for Medicare & Medicaid Services?
The Bright Smiles, P.A. was assigned its 1205013554 by the Centers for Medicare & Medicaid Services on 2008-01-29.
As of what date was the information pertaining to Bright Smiles, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bright Smiles, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-11-13.