SUNSHINE ORTHODONTICS NPI 1225398209

NPI Information

NPI: 1225398209
Provider Name: SUNSHINE ORTHODONTICS
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Address: 411 WASHINGTON AVE STE 103
KINGSTON, NY
ZIP 12401
Phone: (845) 592-2292

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NPI Details

SUNSHINE ORTHODONTICS is a dental clinic center in Kingston, NY. SUNSHINE ORTHODONTICS NPI is 1225398209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 WASHINGTON AVE STE 103
KINGSTON, NY
ZIP 12401-722
Phone: (845) 592-2292

The provider's authorized official is Ahmed Mansour .
The authorized official title is Owner/president and has the following contact phone number (845) 592-2292.

The enumeration date for this NPI number is 5/23/2012 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	053092	NEW YORK	No
2	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02921286	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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