Brighter Dental Of Old Town

LBN: Brighter Dental Of Old Town
Brighter Dental Of Old Town is an health care organization with primary practice located at 1254 N Wells St , Chicago IL 60610-1981. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. Brighter Dental Of Old Town can be contacted via phone (312) 337-3300, or through Nouneh, Roger via phone (312) 337-3300.

Contact Information

Primary practice address
1254 N Wells St Chicago IL 60610-1981
Fax:
Website:
Authorized official contact:
Name: Nouneh, Roger

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019025485 Illinois
Dental Providers / Dentist 122300000X 019029429 Illinois
Dental Providers / Dentist 122300000X 019029061 Illinois
Dental Providers / Dentist 122300000X 019029936 Illinois
Dental Providers / Dentist 122300000X 019029031 Illinois
Dental Providers / Periodontics 1223P0300X 021001990 Illinois

Profile Details

NPI number 1164829032
LBN Legal business name Brighter Dental Of Old Town
DBA Doing business as
Authorized official Nouneh, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 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.

Request for update

Popular Providers