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BRIGHT SIDE DENTAL-ST. CLAIR SHORES PLLC NPI 1235497595


NPI Information

NPI: 1235497595
Provider Name: BRIGHT SIDE DENTAL-ST. CLAIR SHORES PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
31245 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 439-2940
Get Directions

BRIGHT SIDE DENTAL-ST. CLAIR SHORES PLLC is a general practice dentist in Saint Clair Shores, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRIGHT SIDE DENTAL-ST. CLAIR SHORES PLLC NPI is 1235497595. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

31245 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48082-401
Phone: (586) 439-2940

The provider's authorized official is Derek Grytzelius .
The authorized official title is Owner/doctor and has the following contact phone number (586) 439-2940.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901018970MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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