Brightsmiles Pediatric Dentistry
LBN: Brightsmiles Pediatric Dentistry
Brightsmiles Pediatric Dentistry is an health care organization with primary practice located at 2550 W Addison St Ste A17 , Chicago IL 60618-5939. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Brightsmiles Pediatric Dentistry can be contacted via phone (773) 423-6050, or through Kuttab, H. Johnny I via phone (847) 971-8847.
Contact Information
Primary practice address
2550 W Addison St Ste A17
Chicago IL 60618-5939
Phone: (773) 423-6050
Fax:
Website:
Authorized official contact:
Name: Kuttab, H. Johnny I Doctor of Dental Surgery (DDS)
Phone: (847) 971-8847
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 019.027640 | Illinois |
Profile Details
NPI number | 1538472477 |
---|---|
LBN Legal business name | Brightsmiles Pediatric Dentistry |
DBA Doing business as | |
Authorized official | Kuttab, H. Johnny I Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 20th, 2010 |
Last updated | Feb 16th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538472477 | NPPES |
Illinois | Other | 1811155096 | INDIVIDUAL NPI |
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