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Organization

BRIGHT SMILES ORTHODONTICS

Active
Other names
Suburban Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON JONES DDS (OWNER)
(716) 649-5254
Entity
Organization

Contact information

Practice address
2005 NIAGARA FALLS BLVD., AMHERST, NY 14228
(716) 649-5254
(716) 525-1861
Mailing address
2005 NIAGARA FALLS BLVD., AMHERST, NY 14228
(716) 649-5254
(716) 525-1861

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0487311
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044104
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0548261
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03338938
NY
Enumeration date
05/10/2017
Last updated
05/10/2017
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