Provider Demographics
NPI:1629795091
Name:BRIGHT CHOICE DENTAL OF BETHLEHEM LP
Entity Type:Organization
Organization Name:BRIGHT CHOICE DENTAL OF BETHLEHEM LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAMDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-219-9197
Mailing Address - Street 1:2162 W UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-2011
Mailing Address - Country:US
Mailing Address - Phone:610-691-2121
Mailing Address - Fax:
Practice Address - Street 1:2162 W UNION BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2011
Practice Address - Country:US
Practice Address - Phone:610-691-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental