Brightside Oral Surgery LLC
NPI 1083569396 · Oral & Maxillofacial Surgery (D.M.D.) · Roy, UT
Brightside Oral Surgery LLC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Roy, UT (NPI 1083569396).
Provider details
- NPI number
- 1083569396
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ebonie Gonzales, Credentialing Manager(505) 850-3769
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Brightside Oral Surgery LLC's NPI number?
- Brightside Oral Surgery LLC's National Provider Identifier (NPI) is 1083569396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brightside Oral Surgery LLC?
- Brightside Oral Surgery LLC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Brightside Oral Surgery LLC located?
- Brightside Oral Surgery LLC's practice location on file with NPPES is 5682 S 3500 W Unit a, Roy, UT 84067-9108.
- What is Brightside Oral Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Brightside Oral Surgery LLC is (801) 773-9828.
- Who is the authorized official for Brightside Oral Surgery LLC?
- The authorized official listed on Brightside Oral Surgery LLC's NPPES record is Ebonie Gonzales, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brightside Oral Surgery LLC's NPI active?
- Yes — Brightside Oral Surgery LLC's NPI (1083569396) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.