| Bright Smile Dental Care | |
|
11530 Allisonville Rd Suite 175 Fishers IN 46038-1866 | |
| (317) 845-5100 | |
| (317) 845-5200 |
| Full Name | Bright Smile Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 11530 Allisonville Rd, Fishers, Indiana |
| Authorized Official Name and Position | Sung H Kong (OWNER/PRESIDENT) |
| Authorized Official Contact | 3178455100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smile Dental Care 11530 Allisonville Rd Suite 175 Fishers IN 46038-1866 Ph: (317) 845-5100 | Bright Smile Dental Care 11530 Allisonville Rd Suite 175 Fishers IN 46038-1866 Ph: (317) 845-5100 |
| NPI Number | 1003213646 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003213646 | NPI | - | NPPES |
| 200533220 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010747A (Indiana) | Primary |
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