Provider Demographics
NPI:1609590694
Name:SMILE BRIGHT FAMILY DENTISTRY OF NEWMAN
Entity Type:Organization
Organization Name:SMILE BRIGHT FAMILY DENTISTRY OF NEWMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANJINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-535-1322
Mailing Address - Street 1:1925 N ST STE E
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-1419
Mailing Address - Country:US
Mailing Address - Phone:209-862-0777
Mailing Address - Fax:
Practice Address - Street 1:1925 N ST STE E
Practice Address - Street 2:
Practice Address - City:NEWMAN
Practice Address - State:CA
Practice Address - Zip Code:95360-1419
Practice Address - Country:US
Practice Address - Phone:209-862-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental