Provider Demographics
NPI:1609116011
Name:BRIGHTON SMILES - GASPAR PLLC
Entity Type:Organization
Organization Name:BRIGHTON SMILES - GASPAR PLLC
Other - Org Name:KYLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:GASPAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-268-3384
Mailing Address - Street 1:5401 FM 1626
Mailing Address - Street 2:#190
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6038
Mailing Address - Country:US
Mailing Address - Phone:512-268-3384
Mailing Address - Fax:512-268-4800
Practice Address - Street 1:5401 FM 1626
Practice Address - Street 2:#190
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6038
Practice Address - Country:US
Practice Address - Phone:512-268-3384
Practice Address - Fax:512-268-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty