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Contact Information

SMILE BRILLIANT VENTURES
1645 HEADLAND DR
FENTON, MO63026-2836
 Phone: 855-944-8361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

NPI Profile & details for SMILE BRILLIANT VENTURES

NPI Number 1023836673
LBN Legal business name SMILE BRILLIANT VENTURES
Authorized official MICHAEL BLUESTONE - (BUSINESS OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2024
Last updated 10/02/2024 - More than a year 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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