BRILLIANT WHITE DENTAL PLLC
NPI 1477268100
Dentist - General Practice in Sierra Vista, AZ

Active since January 17, 2023
2151 S HIGHWAY 92 STE 109, SIERRA VISTA, AZ 85635(520) 730-8388 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Jun 13, 2023, Jan 17, 2023 (3 updates tracked since 2023).

About Brilliant White Dental Pllc NPPES

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

BRILLIANT WHITE DENTAL PLLC (NPI 1477268100) is a healthcare organization registered as a general practice in Sierra Vista, Arizona and active in the NPI registry since January 2023. The organization lists Fredric J. White, Owner, as its authorized official.

NPPES Registry Identity

NPI1477268100
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRILLIANT WHITE DENTAL PLLC
Location Address2151 S HIGHWAY 92 STE 109Sierra Vista, AZ 85635-5283
Mailing Address2151 S Highway 92 Ste 109Sierra Vista, AZ 85635-5283 · (520) 730-8388
Organization SubpartNo
Authorized OfficialFredric J. WhiteOwner · (520) 730-8388
Enumeration DateJanuary 17, 2023
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1477268100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
2151 S HIGHWAY 92 STE 109, Sierra Vista, AZ 85635

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2151 S HIGHWAY 92 STE 109
SIERRA VISTA, AZ 85635
Dentist
2151 S HIGHWAY 92 STE 109
SIERRA VISTA, AZ 85635
Dentist (General Practice)
2151 S HIGHWAY 92 STE 109
SIERRA VISTA, AZ 85635

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 Brilliant White Dental PLLC's NPI number?

The NPI number for Brilliant White Dental PLLC is 1477268100. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Brilliant White Dental PLLC located?

Brilliant White Dental PLLC is located at 2151 S Highway 92 Ste 109, Sierra Vista, AZ 85635. The listed phone number is (520) 730-8388.

What is Brilliant White Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brilliant White Dental PLLC was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.