Organization · Type 2 NPI
Brightside Dental, LLC
Dental Clinic/Center · Independence, MO
NPI number
1316613607
Active
Practice location
4731 S Cochise Dr Ste 110
Independence, MO 64055-6943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1316613607
Brightside Dental, LLC's National Provider Identifier is 1316613607, issued on Aug 18, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Independence, MO. The record was last updated on Oct 2, 2025.