Healthcare Provider Details

I. General information

NPI: 1124972245
Provider Name (Legal Business Name): BRIGHT FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 ARMOUR ST
CHATTANOOGA TN
37412-2812
US

IV. Provider business mailing address

1421 ARMOUR ST
CHATTANOOGA TN
37412-2812
US

V. Phone/Fax

Practice location:
  • Phone: 860-839-9441
  • Fax:
Mailing address:
  • Phone: 423-415-1421
  • Fax: 423-218-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ROBINA HABIB
Title or Position: DENTIST
Credential: DMD
Phone: 860-839-9441