Brilliant Smiles Pediatric Dentistry, Llc

LBN: Brilliant Smiles Pediatric Dentistry, Llc
Brilliant Smiles Pediatric Dentistry, Llc is an health care organization with primary practice located at 237 Halsey St , Newark NJ 07102. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Brilliant Smiles Pediatric Dentistry, Llc can be contacted via phone (862) 955-2285, or through Webb, Suffiyah via phone (862) 955-2285.

Contact Information

Primary practice address
237 Halsey St Newark NJ 07102
Phone: (862) 955-2285
Fax: (862) 367-8219
Website:
Map and Directions
Authorized official contact:
Name: Webb, Suffiyah Doctor of Dental Surgery (DDS)
Phone: (862) 955-2285

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1235862889
LBN Legal business name Brilliant Smiles Pediatric Dentistry, Llc
DBA Doing business as
Authorized official Webb, Suffiyah Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 2 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 1235862889 NPPES
New Jersey MEDICAID 0254576

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