SUNRISE DENTAL GROUP P.A. (NPI# 1255604054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255604054 |
| Entity Type | Organization |
| Organization Name | SUNRISE DENTAL GROUP P.A. |
| Other Organization Name | SUNRISE CENTER FOR DENTAL SPECIALTIES |
| Practice Address |
1776 N Pine Island Rd Ste 300 Plantation FL 33322-5235 |
| Mailing Address |
13195 Sw 134th St Fl 2 Miami FL 33186-4461 |
| Practice Telephone | 9549160947 |
| Mailing Telephone | 3052742499 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | MS. STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sunrise Center for Dental Specialties | Doing Business As Name - Organization |
| Street Address |
1776 N PINE ISLAND RD STE 300 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33322-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346352705 | Towncare Dental Group, LLC | Dentist | 1776 N Pine Island Rd Ste 300, Plantation, FL 33322-5235 | 2006-08-31 |
| 1881212082 | Matthew J. Dillon | Dentist | 1776 N Pine Island Rd Ste 300, Plantation, FL 33322-5235 | 2020-07-14 |
| 1225134547 | Towncare Dental Group, LLC | Dentist | 1776 N Pine Island Rd Ste 300, Plantation, FL 33322-5235 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347839 | Carolina Cortez Pa | Dentist | 7420 Nw 5th St Ste 104, Plantation, FL 33317-1611 | 2020-08-17 |
| 1558972562 | Viviana Andrea Rojas | Dentist | 621 Pebble Creek Ter, Plantation, FL 33324-2250 | 2020-08-13 |
| 1831758416 | Rodion Pinkhasov | Dentist | 101 Sw 96th Ter Apt 204, Plantation, FL 33324-2339 | 2019-06-07 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1477913093 | Tahira Williams | Dentist | 1240b N University Dr, Plantation, FL 33322-4721 | 2016-02-24 |
| 1245601541 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 817 S University Dr Ste 103, Plantation, FL 33324-3345 | 2015-10-13 |
| 1417269838 | Heidi R Finkelstein | Dentist | 333 Nw 70th Ave Ste 204, Plantation, FL 33317-2300 | 2010-07-14 |
| 1023320066 | Yehuda Joseph Benjamin | Dentist | 250 Jacaranda Dr Apt 803, Plantation, FL 33324-2536 | 2010-07-07 |
| 1952632192 | Pembroke Dental Pllc | Dentist | 6905 W Broward Blvd Ste 101, Plantation, FL 33317-2903 | 2010-01-28 |
| 1639313471 | Amy Ann Kinlaw | Dentist | 1247 Lakepointe Ln, Plantation, FL 33322-5734 | 2009-04-23 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33322 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.