| Bright Smiles Dental Care , Inc | |
|
2900 Ring Rd Elizabethtown KY 42701-7934 | |
| (270) 737-6453 | |
| (270) 737-0801 |
| Full Name | Bright Smiles Dental Care , Inc |
|---|---|
| Speciality | Dentist |
| Location | 2900 Ring Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Sana M Aburob (OWNER DENTIST) |
| Authorized Official Contact | 2707376453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smiles Dental Care , Inc 2900 Ring Rd Elizabethtown KY 42701 Ph: (270) 737-6453 | Bright Smiles Dental Care , Inc 2900 Ring Rd Elizabethtown KY 42701-7934 Ph: (270) 737-6453 |
| NPI Number | 1770854630 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770854630 | NPI | - | NPPES |
| 7100051530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8387 (Kentucky) | Primary |
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