| Brightly Dental, Llc | |
|
320 Austin St Bogalusa LA 70427-3857 | |
| (985) 735-7653 | |
| (985) 735-7688 |
| Full Name | Brightly Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 320 Austin St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Keith Luminais (OWNER) |
| Authorized Official Contact | 9857357653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightly Dental, Llc 320 Austin St Bogalusa LA 70427-3857 Ph: (985) 735-7653 | Brightly Dental, Llc 320 Austin St Bogalusa LA 70427-3857 Ph: (985) 735-7653 |
| NPI Number | 1942197678 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942197678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bogalusa Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Memphis St, Bogalusa, LA 70427 Phone: 985-735-0078 | |
Charlie P. Ilawan, Dds, Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Louisiana Ave, Bogalusa, LA 70427 Phone: 985-735-7372 Fax: 985-732-5944 | |
Gary A Parker Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Austin St, Bogalusa, LA 70427 Phone: 985-735-7653 Fax: 985-735-7688 |