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
Fax:
Website:
Authorized official contact:
Name: Kuttab, H. Johnny I Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538472477 NPPES
Illinois Other 1811155096 INDIVIDUAL NPI

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