Brilliant White Dental Pllc

LBN: Brilliant White Dental Pllc
Brilliant White Dental Pllc is an health care organization with primary practice located at 2151 S Highway 92 Ste 109 , Sierra Vista AZ 85635-5283. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Brilliant White Dental Pllc can be contacted via phone (520) 730-8388, or through White, Fredric J. via phone (520) 730-8388.

Contact Information

Primary practice address
2151 S Highway 92 Ste 109 Sierra Vista AZ 85635-5283
Phone: (520) 730-8388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Fredric J. Doctor of Dental Surgery (DDS)
Phone: (520) 730-8388

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1477268100
LBN Legal business name Brilliant White Dental Pllc
DBA Doing business as
Authorized official White, Fredric J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2023
Last updated Jul 17th, 2023 - about 3 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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