Provider Demographics
NPI:1245619782
Name:BRIGHTER DAYS DENTAL HYGIENE CLINIC
Entity Type:Organization
Organization Name:BRIGHTER DAYS DENTAL HYGIENE CLINIC
Other - Org Name:BRIGHTER DAYS DENTAL HYGIENE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTAL HYGIENIST
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DH002023493
Authorized Official - Phone:719-425-8964
Mailing Address - Street 1:5925 LEHMAN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3425
Mailing Address - Country:US
Mailing Address - Phone:719-425-8964
Mailing Address - Fax:
Practice Address - Street 1:5925 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3425
Practice Address - Country:US
Practice Address - Phone:719-425-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH002023493124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty