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Contact Information

BRIGHT DENTAL STUDIO PLLC
120 W COLUMBIA ST
SAN AUGUSTINE, TX75972-1904
 Phone: 936-288-3520
 Fax: 936-288-5076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for BRIGHT DENTAL STUDIO PLLC

NPI # 1184340622
LBN Legal business name BRIGHT DENTAL STUDIO PLLC
Authorized official SIDNEY FOWLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2022
Last updated 10/31/2022 - About 4 years 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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