BRIGHTSIDE ORAL SURGERY LLC
NPI 1144163833
Oral & Maxillofacial Surgery in Syracuse, UT

NPI Status: Active since April 09, 2026

Contact Information

1562 S 3000 W STE 100
SYRACUSE, UT
ZIP 84075
Phone: (801) 773-8644
Fax: (801) 773-9828

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  • Organization
  • Oral & Maxillofacial Surgery

About BRIGHTSIDE ORAL SURGERY LLC

This page provides the complete NPI Profile along with additional information for Brightside Oral Surgery Llc, a provider established in Syracuse, Utah operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1144163833 assigned on April 2026. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Brightside Oral Surgery Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ebonie Gonzales (Credentialing Manager)

NPI
1144163833
Provider Name
BRIGHTSIDE ORAL SURGERY LLC
Entity Type
Organization
Location Address
1562 S 3000 W STE 100 SYRACUSE, UT 84075
Location Phone
(801) 773-8644
Location Fax
(801) 773-9828
Mailing Address
1562 S 3000 W STE 100 SYRACUSE, UT 84075
Mailing Phone
(801) 773-8644
Mailing Fax
(801) 773-9828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2026
Last Update Date
04-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EBONIE GONZALES

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(505) 850-3769

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144163833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 2 + 6 + 6 + 8 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1144163833.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
1562 S 3000 W STE 100
SYRACUSE, UT 84075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144163833, enumerated as an "organization" on April 09, 2026.

The provider is located at 1562 S 3000 W STE 100 SYRACUSE, UT 84075 and the phone number is (801) 773-8644.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.