Brighter Dental of Old Town
Brighter Dental of Old Town provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 6
Practice location Address checks out
1254 N Wells StChicago, IL 60610-1981 Not confirmed with CMS for 11 years — call before visiting
Phone: (312) 337-3300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019025485 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 019029429 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019029061 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019029936 (IL) |
| Dentist | Taxonomy 122300000X · Licence 019029031 (IL) |
| Periodontics | Taxonomy 1223P0300X · Licence 021001990 (IL) |
Record details
| NPI number | 1164829032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Nouneh — Managing Member · (312) 337-3300 |
| NPI enumerated | November 20, 2014 |
| Last updated in NPPES | November 20, 2014 |
| Mailing address | 1254 N Wells St, Chicago, IL 60610-1981 |
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