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SUNRISE DENTAL GROUP P.A. NPI 1255604054


NPI Information

NPI: 1255604054
Provider Name: SUNRISE DENTAL GROUP P.A.

Doing Business As: SUNRISE CENTER FOR DENTAL SPECIALTIES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1776 N PINE ISLAND RD STE 300
PLANTATION, FL
ZIP 33322
Phone: (954) 916-0947
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SUNRISE DENTAL GROUP P.A. is a general practice dentist in Plantation, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SUNRISE DENTAL GROUP P.A. NPI is 1255604054. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunrise Center For Dental Specialties.

The provider's business location address is:

1776 N PINE ISLAND RD STE 300
PLANTATION, FL
ZIP 33322-235
Phone: (954) 916-0947

The provider's authorized official is Stephanie Gomez .
The authorized official title is Provider Relations Specialist and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 8/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223S0112XDentistOral and Maxillofacial SurgeryNo
41223P0700XDentistProsthodonticsNo
51223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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