Provider Demographics
NPI:1225922461
Name:VENTURA BRIGHT DENTAL PRACTICE
Entity type:Organization
Organization Name:VENTURA BRIGHT DENTAL PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:530-500-2290
Mailing Address - Street 1:613 MARIJEAN WAY APT A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-5648
Mailing Address - Country:US
Mailing Address - Phone:336-870-0339
Mailing Address - Fax:
Practice Address - Street 1:3450 LOMA VISTA RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3026
Practice Address - Country:US
Practice Address - Phone:530-500-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental