Bright Smiles, P.A.

LBN: Bright Smiles, P.A.
Bright Smiles, P.A. is an health care organization with primary practice located at 4115 Wilkens Ave Ste 101 , Baltimore MD 21229-4750. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bright Smiles, P.A. can be contacted via phone (410) 737-9666, or through Kumarachandran, Shankari via phone (410) 737-9666.

Contact Information

Primary practice address
4115 Wilkens Ave Ste 101 Baltimore MD 21229-4750
Fax: (410) 737-9667
Website:
Authorized official contact:
Name: Kumarachandran, Shankari Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 11814 Maryland

Profile Details

NPI number 1205013554
LBN Legal business name Bright Smiles, P.A.
DBA Doing business as
Authorized official Kumarachandran, Shankari Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated Nov 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205013554 NPPES
Maryland MEDICAID 404887300

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