Provider Demographics
NPI:1417317454
Name:BRIGHT SMILES LLC
Entity Type:Organization
Organization Name:BRIGHT SMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-951-3800
Mailing Address - Street 1:1200 PARK ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 PARK ST
Practice Address - Street 2:SUITE C
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-951-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty