DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRILLIANT SMILE DENTAL, P.C.

Active Organization

BRILLIANT SMILE DENTAL, P.C. is a Dentist organization located in PORTLAND, Oregon. NPI 1215209861 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, OR

Registration Details

NPI Number
1215209861
Provider Type
Organization
NPI Issued
Jan 28, 2012 (14.522964343801 yrs)
Last Updated
Jan 31, 2014
License
D7803 (OR)

Practice Information

Address
12720 SE STARK ST
PORTLAND, OR, 972331539
Browse OR providers · Browse ZIP 97233
Phone
5032526133
Fax
5032576886
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.