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General NPI Number Information
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NPI Number | 1639099476
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Entity Type | Organization
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Legal Business Name | BRIGHTER DENTAL
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1254 N WELLS ST
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City | CHICAGO
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State | IL
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Zip | 60610-1981
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Country | US
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Telephone | 312-337-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 2659 KINGSTON DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-6511
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROGER NOUNEH
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Credential | DMD
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Telephone | 847-475-7754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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