BRIGHT SMILES DENTAL PROGRAM – NPI #1427519529
Clinic/Center

BRIGHT SMILES DENTAL PROGRAM is an AHC clinic located in SAINT PAUL, MN. NPPES has assigned the NPI number 1427519529 to BRIGHT SMILES DENTAL PROGRAM on March 29, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHT SMILES DENTAL PROGRAM below.

NPI Profile for
BRIGHT SMILES DENTAL PROGRAM

NPI Number
1427519529
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIGHT SMILES DENTAL PROGRAM
Primary location
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107-2226
Phone: (651) 602-7500 Fax: (651) 602-7580
Mailing address
Same as primary location
Organization Subpart
Yes - BRIGHT SMILES DENTAL PROGRAM is subpart of another organization.
Authorized Official
BLAKE DARSOW
CFO
Phone: (651) 602-7537
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.