Healthcare Provider Details

I. General information

NPI: 1720997117
Provider Name (Legal Business Name): PERIO BRIGHT DENTAL IMPLANT CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 TELLURIDE ST UNIT 1
BRIGHTON CO
80601-4356
US

IV. Provider business mailing address

6737 S WHITE CROW WAY
AURORA CO
80016-7598
US

V. Phone/Fax

Practice location:
  • Phone: 720-676-1231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: SANGEETHA CHANDRASEKARAN
Title or Position: PERIODONTIST
Credential: BDS, MS, MS
Phone: 916-342-7705