# BRIGHTSIDE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386493260
- **Authorized official:** BEN DANSIE DMD (PRESIDENT)
- **Authorized official phone:** (208) 745-1911

## Contact information

- **Practice address:** 302 N 3823 E, RIGBY, ID 83442-5723
- **Practice address phone:** (208) 745-1911
- **Practice address fax:** (208) 745-8566
- **Mailing address:** 302 N 3823 E, RIGBY, ID 83442-5723
- **Mailing address phone:** (208) 745-1911
- **Mailing address fax:** (208) 745-8566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 05/14/2024