Provider Demographics
NPI:1326887902
Name:BRIGHT SMILES DENTAL OF THE TREASURE COAST, PLLC
Entity type:Organization
Organization Name:BRIGHT SMILES DENTAL OF THE TREASURE COAST, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIERZBICKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-217-5338
Mailing Address - Street 1:3662 SW 30TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-3723
Mailing Address - Country:US
Mailing Address - Phone:772-217-5338
Mailing Address - Fax:772-217-4599
Practice Address - Street 1:3662 SW 30TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-3723
Practice Address - Country:US
Practice Address - Phone:320-309-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental