Provider Demographics
NPI:1780575563
Name:BRIGHT ORTHODONTICS, PA
Entity type:Organization
Organization Name:BRIGHT ORTHODONTICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STAHL
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:281-599-1155
Mailing Address - Street 1:810 S MASON RD STE 290
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3858
Mailing Address - Country:US
Mailing Address - Phone:281-599-1155
Mailing Address - Fax:281-599-3811
Practice Address - Street 1:810 S MASON RD STE 290
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3858
Practice Address - Country:US
Practice Address - Phone:281-599-1155
Practice Address - Fax:281-599-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty