Organization
BRIGHT SMILE AMERICADENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HARRIS DDS (OWNER)
(860) 242-5005
Entity
Organization
Contact information
Practice address
719 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3040
(860) 242-5005
(860) 242-9998
Mailing address
719 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3040
(860) 242-5005
(860) 242-9998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031624
—
CT
Enumeration date
03/01/2012
Last updated
06/24/2014
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