Brightside Dental, LLC
NPI #1316613607 in Independence, Missouri
Provider Information
- NPI Number
- 1316613607
- Entity Type
- Organization
- Organization Name
- Brightside Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 18, 2021
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 4731 S COCHISE DR STE 110
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-6943
- Phone
- (816) 704-0818
Authorized Official
- Name
- BRANDY LOPEZ
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (970) 596-8085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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