Brightside Oral Surgery LLC

Brightside Oral Surgery LLC is a healthcare organization registered as Oral & Maxillofacial Surgery (D.M.D.) in Syracuse, UT, holding Type 2 (organization) NPI 1144163833 since 2026. The authorized official on file is Ebonie Gonzales, Credentialing Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1144163833
Entity type	Organization (Type 2)
Legal business name	Brightside Oral Surgery LLC
Practice address	1562 S 3000 W STE 100, Syracuse, UT, 84075
Phone	8017738644
Fax	8017739828
Enumeration date	2026-04-09
Last updated in NPPES	2026-04-09

Authorized official

Name	Ebonie Gonzales
Title	Credentialing Manager
Phone	5058503769

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	Primary	—	—

Copy-ready billing details

Provider: Brightside Oral Surgery LLC
NPI: 1144163833
Taxonomy: 204E00000X (Oral & Maxillofacial Surgery (D.M.D.))
Address: 1562 S 3000 W STE 100, Syracuse, UT, 84075

Providers at this address

NPI	Name	Type	Specialty	Location
1588555445	Nancy Dorny	Individual	Psychiatric/Mental Health Nurse Practitioner	Syracuse, UT

Verify this record

Cross-check NPI 1144163833 against the authoritative CMS record: view Brightside Oral Surgery LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-04-09. Verify at npiregistry.cms.hhs.gov.

Where is Brightside Oral Surgery LLC located?

The practice location on file with NPPES is in Syracuse, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-09.