Organization
BRIGHTER SMILE LLC
Active
Other names
Brighter Smile
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BECKERLY (DENTIST)
(617) 365-6261
Entity
Organization
Contact information
Practice address
4845 N MILWAUKEE AVE, CHICAGO, IL 60630-2145
(773) 647-1093
Mailing address
4845 N MILWAUKEE AVE, CHICAGO, IL 60630-2145
(773) 647-1093
(773) 647-1704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028755
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/03/2014
Last updated
10/07/2025
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