Organization
BRIGHTER SMILES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A BRONECKO DDS (PRESIDENT OWNER)
(406) 761-2151
Entity
Organization
Contact information
Practice address
3926 3RD AVE S, GREAT FALLS, MT 59405
(406) 761-2151
(406) 761-1988
Mailing address
3926 3RD AVE S, GREAT FALLS, MT 59405
(406) 761-2151
(406) 761-1988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MT1898
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115518
—
MT
01
—
5512318
CHIPS
MT
01
—
MT1898
LICENSE
MT
Enumeration date
09/27/2006
Last updated
08/22/2020
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