BRIGHT SMILES, P.A. (NPI# 1205013554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205013554 |
| Entity Type | Organization |
| Organization Name | BRIGHT SMILES, P.A. |
| Practice Address |
4115 Wilkens Ave Ste 101 Baltimore MD 21229-4750 |
| Practice Telephone | 4107379666 |
| Practice Fax Number | 4107379667 |
| Mailing Telephone | 4107379666 |
| Mailing Fax Number | 4107379667 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | DR. SHANKARI KUMARACHANDRAN (PRESIDENT) |
| Authorized Official Telephone | 4107379666 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
11814 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404887300 | 05 |
| Street Address |
4115 WILKENS AVE STE 101 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811391162 | Sarita Bhushan | Dentist | 4115 Wilkens Ave Ste 101, Baltimore, MD 21229-4733 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983001 | Raksha Barnes Dmd LLC | Clinic/Center | 838 S Conkling St, Baltimore, MD 21224-4303 | 2019-10-15 |
| 1497228936 | James D Perkins Dds LLC | Clinic/Center | 4000 Annapolis Rd Rear 101, Baltimore, MD 21227-3611 | 2019-01-08 |
| 1255819470 | Sumanya Venkat Rao Dds PC | Clinic/Center | 3635 Old Court Rd Ste 510, Baltimore, MD 21208-3916 | 2018-07-31 |
| 1558867481 | Jones Falls Dental LLC | Clinic/Center | 2 Hamill Rd Ste 265, Baltimore, MD 21210-1885 | 2018-03-31 |
| 1649729724 | Marie Johnson, Dds, Lls | Clinic/Center | 115 S Wolfe St, Baltimore, MD 21231-1915 | 2016-09-29 |
| 1104271279 | Belvedere Square Dental LLC | Clinic/Center | 14 Ruby Field Ct, Baltimore, MD 21209-1559 | 2016-04-26 |
| 1992180012 | Andrew Fried, Dmd LLC | Clinic/Center | 9712 Belair Road, Suite 304, Baltimore, MD 21236 | 2015-07-30 |
| 1447649900 | Byron Bonebreak Dmd LLC | Clinic/Center | 100 Harborview Dr, Unit 1309, Baltimore, MD 21230-5415 | 2015-01-21 |
| 1396727681 | Ned S Greenberg Dds Pa | Clinic/Center | 2100 Eastern Blvd, Baltimore, MD 21220-4704 | 2005-11-14 |
| 1942202692 | Kernan Dentistry | Clinic/Center | 2200 Kernan Dr, Dental Suite T500, Baltimore, MD 21207-6665 | 2005-08-12 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.