Organization
BRIGHT SMILE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG H KONG DDS (DENTIST/OWNER)
(317) 845-5100
Entity
Organization
Contact information
Practice address
9931 ELLER RD, FISHERS, IN 46038-1866
(317) 845-5100
(317) 845-5200
Mailing address
9931 ELLER RD, FISHERS, IN 46038-1866
(317) 845-5100
(317) 845-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010747A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533220
—
IN
Enumeration date
11/25/2014
Last updated
11/27/2024
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