Provider Demographics
NPI:1609569615
Name:BRIGHT, MATTHEW SOUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SOUTH
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 ROSE WALK LN
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-6131
Mailing Address - Country:US
Mailing Address - Phone:828-289-3296
Mailing Address - Fax:
Practice Address - Street 1:337 ROSE WALK LN
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-6131
Practice Address - Country:US
Practice Address - Phone:828-289-3296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC105731223G0001X
NC132441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice