BRIGHT SMILE FAMILY DENTAL
NPI 1376083006
Dentist in Blue Island, IL

Active since February 28, 2017
12601 WESTERN AVE, UNIT B, BLUE ISLAND, IL 60406(708) 293-1903 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bright Smile Family Dental NPPES

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

BRIGHT SMILE FAMILY DENTAL (NPI 1376083006) is a healthcare organization registered as a dentist in Blue Island, Illinois and active in the NPI registry since February 2017. The organization lists Gehan Adam, Dds, as its authorized official.

NPPES Registry Identity

NPI1376083006
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBRIGHT SMILE FAMILY DENTAL
Location Address12601 WESTERN AVE, UNIT BBlue Island, IL 60406-1749
Mailing Address12601 Western Ave, Unit BBlue Island, IL 60406-1749
Organization SubpartNo
Authorized OfficialGehan AdamDds · (708) 293-1903
Enumeration DateFebruary 28, 2017
NPI 1376083006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019027109
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12601 WESTERN AVE, Blue Island, IL 60406

Other Identifiers 1

Medicaid1972566305IL

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.

Dentist (General Practice)
12601 WESTERN AVE, UNIT B
BLUE ISLAND, IL 60406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376083006, enumerated as an "organization" on February 28, 2017.

The provider is located at 12601 WESTERN AVE UNIT B BLUE ISLAND, IL 60406 and the phone number is (708) 293-1903.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.