Healthcare Provider Details

I. General information

NPI: 1134846314
Provider Name (Legal Business Name): BRIGHT CHOICE DENTISTRY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8911 KREWSTOWN RD
PHILADELPHIA PA
19115-4516
US

IV. Provider business mailing address

229 DEL ROCCO CT
RARITAN NJ
08869-2307
US

V. Phone/Fax

Practice location:
  • Phone: 848-219-9197
  • Fax:
Mailing address:
  • Phone: 848-219-9197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAMDEEP BRAR
Title or Position: PRESIDENT
Credential:
Phone: 848-219-9197