BRIGHTSIDE ORAL SURGERY LLC; NPI #1154264844

Contact Information

BRIGHTSIDE ORAL SURGERY LLC

5459 W 7800 S STE 100
WEST JORDAN, UT 84081-6090

Phone: 801-773-8644
Fax: 801-773-9828
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for BRIGHTSIDE ORAL SURGERY LLC

NPI #	`1154264844`
LBN Legal business name	BRIGHTSIDE ORAL SURGERY LLC
Authorized official	EBONIE GONZALES - (CREDENTIALING SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/09/2026
Last updated	04/09/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIGHTSIDE ORAL SURGERY LLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for BRIGHTSIDE ORAL SURGERY LLC

Reviews for BRIGHTSIDE ORAL SURGERY LLC