| Brightside Dental, LLC | |
|
4731 S Cochise Dr Ste 110 Independence MO 64055-6943 | |
| (816) 704-0818 | |
| Not Available |
| Full Name | Brightside Dental, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4731 S Cochise Dr Ste 110, Independence, Missouri |
| Authorized Official Name and Position | Brandy Lopez (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 9705968085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Dental, LLC 4731 S Cochise Dr Ste 110 Independence MO 64055-6943 Ph: (816) 704-0816 | Brightside Dental, LLC 4731 S Cochise Dr Ste 110 Independence MO 64055-6943 Ph: (816) 704-0818 |
| NPI Number | 1316613607 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 10/02/2025 |
| Certification Date | 10/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316613607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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