Provider Demographics
NPI:1871838284
Name:BRIGHT SIDE DENTAL SOUTHFIELD PLLC
Entity Type:Organization
Organization Name:BRIGHT SIDE DENTAL SOUTHFIELD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELTURK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-971-1920
Mailing Address - Street 1:30021 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1524
Mailing Address - Country:US
Mailing Address - Phone:248-971-1920
Mailing Address - Fax:248-971-1927
Practice Address - Street 1:30021 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1524
Practice Address - Country:US
Practice Address - Phone:248-971-1920
Practice Address - Fax:248-971-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010199841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty