# BRIGHT SMILE DENTAL CARE, PSC

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

## Provider details

- **NPI number:** 1487921466
- **Authorized official:** DR. SANA M ABUROB D.M.D (OWNER DENTIST)
- **Authorized official phone:** (270) 734-1967

## Contact information

- **Practice address:** 60 STONECREST CT, SUITE 200, SHELBYVILLE, KY 40065-8157
- **Practice address phone:** (502) 633-1819
- **Practice address fax:** (502) 633-1817
- **Mailing address:** 60 STONECREST CT, SUITE 200, SHELBYVILLE, KY 40065-8155
- **Mailing address phone:** (502) 633-1819
- **Mailing address fax:** (502) 633-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8112 | KY | Yes |
| 122300000X | Dentist | 8387 | KY | — |
| 122300000X | Dentist | 9059 | KY | — |

## Other

- **Enumeration date:** 11/19/2011
- **Last updated:** 01/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100051530 | — | KY |