OrganizationActive
Brilliant Smile Dental, P.C.
NPI 1215209861 · Dentist · Portland, OR
Brilliant Smile Dental, P.C. is a Dentist organization in Portland, OR (NPI 1215209861).
Provider details
- NPI number
- 1215209861
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nicole Luong, President(503) 708-8059
- License
- D7803 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES 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
12720 Se Stark St
Portland, OR 97233-1539
Phone: (503) 252-6133
Fax: (503) 257-6886
Street-level locationGet directions
Mailing address
12720 Se Stark St
Portland, OR 97233-1539
Registry dates
- Enumerated
- 2012-01-28
- Last updated
- 2014-01-31
Frequently asked questions
- What is Brilliant Smile Dental, P.C.'s NPI number?
- Brilliant Smile Dental, P.C.'s National Provider Identifier (NPI) is 1215209861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brilliant Smile Dental, P.C.?
- Brilliant Smile Dental, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Brilliant Smile Dental, P.C. located?
- Brilliant Smile Dental, P.C.'s practice location on file with NPPES is 12720 Se Stark St, Portland, OR 97233-1539.
- What is Brilliant Smile Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Brilliant Smile Dental, P.C. is (503) 252-6133.
- Who is the authorized official for Brilliant Smile Dental, P.C.?
- The authorized official listed on Brilliant Smile Dental, P.C.'s NPPES record is Nicole Luong, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brilliant Smile Dental, P.C.'s NPI active?
- Yes — Brilliant Smile Dental, P.C.'s NPI (1215209861) is active in the NPPES registry as of the last update on 2014-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.