DR. DI SUN DDS PHD NPI 1851491310

NPI Information

  • NPI: 1851491310
  • Provider Name: DR. DI SUN, DDS PHD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 610 PROFESSIONAL DR STE 215
    GAITHERSBURG, MD
    ZIP 20879
  • Phone: (301) 869-8666

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NPI Details

DR. Di Sun, DDS PHD is an oral and maxillofacial surgery dentist in Gaithersburg, MD with 33 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Di Sun, DDS PHD NPI is 1851491310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 PROFESSIONAL DR STE 215
GAITHERSBURG, MD
ZIP 20879-439
Phone: (301) 869-8666
Fax: (301) 869-8677

The NPI 1851491310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/25/2006 and was last updated on 4/3/2023.

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
11223S0112XDentistOral and Maxillofacial Surgery11508MARYLANDYes
2122300000XDentist11508MARYLANDNo
31223P0106XDentistOral and Maxillofacial Pathology11508MARYLANDNo
41223P0106XDentistOral and Maxillofacial Pathology5326DISTRICT OF COLUMBIANo
51223S0112XDentistOral and Maxillofacial Surgery5326DISTRICT OF COLUMBIANo

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
15486025MEDICAIDMARYLAND

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: 11/21/2025

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