Brilliant Smile Dental, P.c. is a Dental Clinic in Portland, Oregon. It is located at 12720 Se Stark St, Portland, OR and its contact number is 503-252-6133. The authorized person for Brilliant Smile Dental, P.c. is Dr. Nicole Nga Luong
who is President of the clinic and their contact number is 503-708-8059. The primary license number for Brilliant Smile Dental, P.c. is D7803 (Dentist) in Oregon. Brilliant Smile Dental, P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Brilliant Smile Dental, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brilliant Smile Dental, P.c.
Specialization:
Dentistry
Clinic Address:
12720 Se Stark St, Portland, Oregon, 97233-1539
Phone:
503-252-6133
Fax:
503-257-6886
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Nicole Nga Luong
Position:
President
Contact Number:
503-708-8059
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Brilliant Smile Dental, P.c. clinic are as mentioned below.
NPI Number:
1215209861
NPI Enumeration Date:
28 Jan, 2012
NPI Last Update On:
31 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brilliant Smile Dental, P.c. are as mentioned below.
Specialization
License Number
State
Status
Dentist
D7803
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
227117
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brilliant Smile Dental, P.c. 12720 Se Stark St, Portland, Oregon
Zip:
97233-1539
Phone Number:
503-708-8059
Fax Number:
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Patients can reach Brilliant Smile Dental, P.c. at 12720 Se Stark St, Portland, Oregon or can call to book an appointment on 503-252-6133. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.