AMY SUN (NPI# 1467566539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467566539 |
| Entity Type | Individual |
| Full Name | AMY SUN |
| Credential | D.D.S. |
| Practice Address |
510 East Stoner Ave Dental Services Shreveport LA 71101-4295 |
| Mailing Address |
Vamc--overton Brooks Dental Services 510 East Stoner Ave Shreveport LA 71101-4295 |
| Practice Telephone | 3184246009 |
| Mailing Telephone | 3184246009 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
050700-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760965883 | Amy Sun | Occupational Therapist | 7215 10th Ave, Brooklyn, NY 11228-1907 | 2018-09-14 |
| 1952764391 | Amy Sun | Student in an Organized Health Care Education/Training Program | Ucla Geriatrics 10945 Le Conte Ave Ste 2339, Los Angeles, CA 90095-6021 | 2016-04-02 |
| 1396045944 | Amy Sun | Occupational Therapist | 3815 149th St, Apt 4v, Flushing, NY 11354-6315 | 2010-10-29 |
| 1447870597 | Amy Yuan Sun | Student in an Organized Health Care Education/Training Program | 610 W 158th St, New York, NY 10032-7104 | 2020-04-19 |
| 1114452265 | Amy Li-hwa Sun | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2017-04-26 |
| 1790714202 | Amy F Sun | Physical Medicine & Rehabilitation | 1775 Ballard Rd, Nesset, Park Ridge, IL 60068-1005 | 2006-06-30 |
| Street Address |
510 EAST STONER AVE DENTAL SERVICES |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962506550 | Juan Manuel Gomez | Counselor | 510 East Stoner Ave, Shreveport, LA 71101-4295 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1003385899 | Scruggs Dental LLC | Dentist | 2001 E. 70th Street, Suite 105, Shreveport, LA 71005 | 2018-11-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1003310053 | Erin O'neal | Dentist | 7030 Youree Dr Ste B, Shreveport, LA 71105-5109 | 2018-03-22 |
| 1487166450 | Emile T. Geneux IIdds, Benjamin A. Beach Dds, and Ross H. Dies Dds, Ll | Dentist | 2533 Bert Koun Loop Ste 107, Shreveport, LA 71118-3158 | 2017-10-31 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1720447147 | Dr. Monica A. Davenport, Dds Apc | Dentist | 1850 Martin Luther King Dr., Shreveport, LA 71107-5020 | 2016-02-12 |
| 1366822710 | A Brighter Smile | Dentist | 385 Bert Kouns Loop, Suite 700, Shreveport, LA 71106-8158 | 2015-06-01 |
| 1104250364 | Witte Family Dentistry, LLC | Dentist | 137 E Kings Hwy, Shreveport, LA 71104-3404 | 2013-08-23 |
| 1063792752 | Ivy Dental | Dentist | 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238 | 2011-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on AMY SUN.
| 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.