Organization
BRIGHT SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN NGUYEN DDS (DDS)
(402) 435-6101
Entity
Organization
Contact information
Practice address
140 SO 16TH STREET, LINCOLN, NE 68508
(402) 435-6101
(402) 435-6134
Mailing address
140 SO 16TH STREET, LINCOLN, NE 68508
(402) 435-6101
(402) 435-6134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6268
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025042800
—
NE
Enumeration date
12/04/2006
Last updated
08/22/2020
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