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

Active since April 09, 2026
1562 S 3000 W STE 100, SYRACUSE, UT 84075(801) 773-8644(801) 773-9828 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brightside Oral Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTSIDE ORAL SURGERY LLC (NPI 1144163833) is a healthcare organization registered as an oral & maxillofacial surgery in Syracuse, Utah and active in the NPI registry since April 2026. The organization lists Ebonie Gonzales, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1144163833
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameBRIGHTSIDE ORAL SURGERY LLC
Location Address1562 S 3000 W STE 100Syracuse, UT 84075-2003
Mailing Address1562 S 3000 W Ste 100Syracuse, UT 84075-2003 · (801) 773-8644 · Fax (801) 773-9828
Phone(801) 773-8644
Fax(801) 773-9828
Organization SubpartNo
Authorized OfficialEbonie GonzalesCredentialing Manager · (505) 850-3769
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1144163833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
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.
1562 S 3000 W STE 100, Syracuse, UT 84075
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY HANKS DORNY DNP
Nurse Practitioner (Psychiatric/Mental Health)
1562 S 3000 W STE 100
SYRACUSE, UT 84075
Davis County (801) 773-8644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightside Oral Surgery LLC's NPI number?

The NPI number for Brightside Oral Surgery LLC is 1144163833. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Brightside Oral Surgery LLC located?

Brightside Oral Surgery LLC is located at 1562 S 3000 W Ste 100, Syracuse, UT 84075. The listed phone number is (801) 773-8644.

What is Brightside Oral Surgery LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Brightside Oral Surgery LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.