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NPI Code Detail

MEDICARE: BRIGHTER SMILE SOLUTIONS LLC

MEDICARE: BRIGHTER SMILE SOLUTIONS LLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1366241358
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER SMILE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 410 W NINE MILE RD STE A
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-1954
Country : US
Telephone Number : 850-462-5333
Fax Number :
Provider Business Practice Location Address
First Line : 410 W NINE MILE RD STE A
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-1954
Country : US
Telephone Number : 850-462-5333
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SHANE TURGEON
Credential : DMD
Telephone Number : 612-747-3514
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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Directions to “BRIGHTER SMILE SOLUTIONS LLC ” Practice Location

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