| Bright Smiles Dental Services Dmd Llc | |
|
2053 Centro Caribe Ponce By Pass Suite 101 Ponce PR 00717 | |
| (787) 812-1010 | |
| Not Available |
| Full Name | Bright Smiles Dental Services Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 2053 Centro Caribe Ponce By Pass Suite 101, Ponce, Puerto Rico |
| Authorized Official Name and Position | Alejandro Mendez (PRESIDENT) |
| Authorized Official Contact | 7873248281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smiles Dental Services Dmd Llc Condominio Torres Del Parque Apto 1502 Norte Bayamon PR 00956 Ph: (787) 324-8281 | Bright Smiles Dental Services Dmd Llc 2053 Centro Caribe Ponce By Pass Suite 101 Ponce PR 00717 Ph: (787) 812-1010 |
| NPI Number | 1154093904 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 5698164986 |
|---|---|
| Medicare Enrollment ID | O20211108000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154093904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Alejandro Mendez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033887401 PECOS PAC ID: 6406252881 Enrollment ID: I20211108000676 |
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