Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brilliant Smile Dental, PC

Organization Dentist · NPI 1215209861

Brilliant Smile Dental, PC is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12720 SE Stark St
Portland, OR 97233-1539
Phone: (503) 252-6133
Fax: (503) 257-6886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7803 (OR)

Record details

NPI number1215209861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Luong — President · (503) 708-8059
NPI enumeratedJanuary 28, 2012
Last updated in NPPESJanuary 31, 2014
Mailing address12720 Se Stark St, Portland, OR 97233-1539

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