# BRIGHT SMILE DENTAL

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

## Provider details

- **NPI number:** 1396803490
- **Authorized official:** VAN NGUYEN DDS (DDS)
- **Authorized official phone:** (402) 435-6101

## Contact information

- **Practice address:** 140 SO 16TH STREET, LINCOLN, NE 68508
- **Practice address phone:** (402) 435-6101
- **Practice address fax:** (402) 435-6134
- **Mailing address:** 140 SO 16TH STREET, LINCOLN, NE 68508
- **Mailing address phone:** (402) 435-6101
- **Mailing address fax:** (402) 435-6134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6268 | NE | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025042800 | — | NE |