Brilliant Smiles Pediatric Dentistry, LLC
Dentist in Newark, New Jersey
1235862889- Practice location
- 237 Halsey St, Newark, NJ 07102
- Phone
- 862-955-2285
- Fax
- 862-367-8219
- Last updated
- July 1, 2022
Brilliant Smiles Pediatric Dentistry, LLC is a healthcare organization based in Newark, NJ. Brilliant Smiles Pediatric Dentistry, LLC practices in Newark, NJ. The NPI Number for Brilliant Smiles Pediatric Dentistry, LLC is 1235862889. The current practice location address for Brilliant Smiles Pediatric Dentistry, LLC is 237 Halsey St, Newark, NJ 07102 and can be reached out via phone at 862-955-2285 and via fax at 862-367-8219.
Provider Profile Details
- NPI Number
- 1235862889
- Provider Name
- Brilliant Smiles Pediatric Dentistry, LLC
- Provider Entity Type
- Organization
- Address
- 237 Halsey St, Newark, NJ 07102
- Phone Number
- 862-955-2285
- Fax Number
- 862-367-8219
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Suffiyah Webb, DDS · Owner - Pediatric Dentist · 862-955-2285
- Other Names
- Brilliant Smiles Pediatric Dentistry (Doing Business As)
- Provider Enumeration Date
- July 1, 2022
- Last Update Date
- July 1, 2022
- Certification Date
- June 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 237 Halsey St
Newark, NJ 07102 - City
- Newark
- State
- New Jersey
- Zip
- 07102
- Phone Number
- 862-955-2285
- Fax Number
- 862-367-8219
Provider Business Mailing Address Details
- Address
- 243 Halsey St
Newark, NJ 07102-3746 - City
- Newark
- State
- NJ
- Zip
- 07102-3746
- Phone Number
- 862-955-2285
License Information
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Newark, NJ
View all Dentists in Newark →Frequently Asked Questions
What is the NPI number of Brilliant Smiles Pediatric Dentistry, LLC?
The NPI number of Brilliant Smiles Pediatric Dentistry, LLC is 1235862889. It was assigned on July 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Brilliant Smiles Pediatric Dentistry, LLC?
Brilliant Smiles Pediatric Dentistry, LLC is registered under the primary taxonomy Dentist (code 122300000X).
Where does Brilliant Smiles Pediatric Dentistry, LLC practice?
The practice location is 237 Halsey St, Newark, NJ 07102. The office can be reached at 862-955-2285 (phone) or 862-367-8219 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235862889 directly on the NPPES registry website.