Brite Smile Dental Group Pc

LBN: Brite Smile Dental Group Pc
Brite Smile Dental Group Pc is an health care organization with primary practice located at 14631 Lee Hwy Ste 116 , Centreville VA 20121-5825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Brite Smile Dental Group Pc can be contacted via phone (703) 447-5204, or through Yoon, Jaewon via phone (703) 447-5204.

Contact Information

Primary practice address
14631 Lee Hwy Ste 116 Centreville VA 20121-5825
Phone: (703) 447-5204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yoon, Jaewon Doctor of Dental Medicine (DMD)
Phone: (703) 447-5204

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 0401412648 Virginia

Profile Details

NPI number 1205260858
LBN Legal business name Brite Smile Dental Group Pc
DBA Doing business as
Authorized official Yoon, Jaewon Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2013
Last updated Aug 30th, 2013 - about 13 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 1205260858 NPPES
Maryland MEDICAID 026866600

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