Provider Demographics
NPI:1003227364
Name:SMILE BRIGHT DENTAL BBD PLC
Entity Type:Organization
Organization Name:SMILE BRIGHT DENTAL BBD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-885-3900
Mailing Address - Street 1:15323 AMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2144
Mailing Address - Country:US
Mailing Address - Phone:813-515-5915
Mailing Address - Fax:813-515-6915
Practice Address - Street 1:15323 AMBERLY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2144
Practice Address - Country:US
Practice Address - Phone:813-515-5915
Practice Address - Fax:813-515-6915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty