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NPI Code Detail

MEDICARE: BRIGHT DENTAL INC

MEDICARE: BRIGHT DENTAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist20357MA

General Provider Information

NPI Number : 1245324052
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT DENTAL INC
Provider Business Mailing Address
First Line : 347 GREENWOOD STREET
Second Line :
City : WORCESTER
State : MA
Zip : 01607-1753
Country : US
Telephone Number : 508-791-4000
Fax Number : 508-798-4980
Provider Business Practice Location Address
First Line : 347 GREENWOOD STREET
Second Line :
City : WORCESTER
State : MA
Zip : 01607-1753
Country : US
Telephone Number : 508-791-4000
Fax Number : 508-798-4980
Authorized Official
Title or Position : OWNER
Name : DR. BASHAR ZYOUD
Credential : DMD
Telephone Number : 508-791-4000
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/22/2020

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Directions to “BRIGHT DENTAL INC ” Practice Location

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