DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRIGHT DENTAL 1 LLC

MEDICARE: BRIGHT DENTAL 1 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1649723412
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT DENTAL 1 LLC
Provider Business Mailing Address
First Line : 1300 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3127
Country : US
Telephone Number : 414-378-7971
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. SHAM CHANDOK
Credential : DDS
Telephone Number : 414-378-7971
Provider Enumeration Date : 07/28/2016
Last Update Date : 07/28/2016

Similar Medicare Providers

1902473077 — SARAH KHAN DMD
Practice Location Address:
1300 W LINCOLN AVE
MILWAUKEE, WI
53215-3127
Practice Phone: 414-662-0235
Practice Fax:
1235465170 — MRS. STACEY MARIE SANTIAGO
Practice Location Address:
3127 S 28TH ST
MILWAUKEE, WI
53215-4307
Practice Phone: 414-837-3646
Practice Fax:
1477908648 — REEM MAHJOUB DMD
Practice Location Address:
1300 W LINCOLN AVE
MILWAUKEE, WI
53215-3127
Practice Phone: 414-377-3808
Practice Fax:
1689102667 — MOHAMMED M ALSAMARRAIE DMD
Practice Location Address:
1300 W LINCOLN AVE
MILWAUKEE, WI
53215-3127
Practice Phone: 414-377-3808
Practice Fax:
1740808302 — MELISSA CORADO DDS
Practice Location Address:
1300 W LINCOLN AVE
MILWAUKEE, WI
53215-3127
Practice Phone: 414-377-3808
Practice Fax:
1205441490 — DR. AYAS MAKKI DMD
Practice Location Address:
1300 W LINCOLN AVE
MILWAUKEE, WI
53215-3127
Practice Phone: 414-377-3808
Practice Fax:

Directions to “BRIGHT DENTAL 1 LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.