Provider Demographics
NPI:1851025977
Name:BRIGHT DENTISTRY PLLC
Entity Type:Organization
Organization Name:BRIGHT DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINLARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-246-9672
Mailing Address - Street 1:10464 MORNING LIGHT CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-8055
Mailing Address - Country:US
Mailing Address - Phone:586-246-9672
Mailing Address - Fax:
Practice Address - Street 1:9880 E GRAND RIVER AVE STE 125
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2468
Practice Address - Country:US
Practice Address - Phone:810-626-5662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental