Brilliant Dentistry, Pllc

LBN: Brilliant Dentistry, Pllc
Brilliant Dentistry, Pllc is an health care organization with primary practice located at 7727 Flying Cloud Dr , Eden Prairie MN 55344-3708. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brilliant Dentistry, Pllc can be contacted via phone (952) 944-2052, or through Bril, Kevin via phone (612) 845-0542.

Contact Information

Primary practice address
7727 Flying Cloud Dr Eden Prairie MN 55344-3708
Phone: (952) 944-2052
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bril, Kevin Doctor of Dental Surgery (DDS)
Phone: (612) 845-0542

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1023682507
LBN Legal business name Brilliant Dentistry, Pllc
DBA Doing business as
Authorized official Bril, Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2021
Last updated May 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023682507 NPPES
Minnesota Other D12438 MN BOARD OF DENTISTRY

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