Brightnow Dental | |
9161 Mentor Ave Mentor OH 44060-6403 | |
(440) 974-9530 | |
(440) 974-9536 |
Full Name | Brightnow Dental |
---|---|
Speciality | Dentist |
Location | 9161 Mentor Ave, Mentor, Ohio |
Authorized Official Name and Position | Diane L Ulichney (CREDENTIALING MANAGER) |
Authorized Official Contact | 4403459068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brightnow Dental 6315 Pearl Rd Ste 201 Parma Heights OH 44130-3074 Ph: (440) 345-9068 | Brightnow Dental 9161 Mentor Ave Mentor OH 44060-6403 Ph: (440) 974-9530 |
NPI Number | 1548445570 |
---|---|
Provider Enumeration Date | 01/09/2008 |
Last Update Date | 05/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548445570 | NPI | - | NPPES |
2618680 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19758 (Ohio) | Primary |
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› Verified 5 days ago
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