Provider Demographics
NPI:1497540215
Name:BRIGHTWAY DENTAL PC
Entity type:Organization
Organization Name:BRIGHTWAY DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREEM
Authorized Official - Middle Name:
Authorized Official - Last Name:FATOUH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-924-2286
Mailing Address - Street 1:2004 CROMPOND RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4231
Mailing Address - Country:US
Mailing Address - Phone:914-243-7777
Mailing Address - Fax:
Practice Address - Street 1:2004 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4231
Practice Address - Country:US
Practice Address - Phone:914-243-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty