# BRIGHT SMILES DENTAL CARE , INC

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

## Provider details

- **NPI number:** 1770854630
- **Authorized official:** DR. SANA M ABUROB D.M.D (OWNER DENTIST)
- **Authorized official phone:** (270) 737-6453

## Contact information

- **Practice address:** 2900 RING RD, ELIZABETHTOWN, KY 42701-7934
- **Practice address phone:** (270) 737-6453
- **Practice address fax:** (270) 737-0801
- **Mailing address:** 2900 RING RD, ELIZABETHTOWN, KY 42701
- **Mailing address phone:** (270) 737-6453
- **Mailing address fax:** (270) 737-0801

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 06/10/2014

## Other identifiers

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