SUNNYSIDE FAMILY DENTISTRY LLC (NPI# 1821526294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821526294 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE FAMILY DENTISTRY LLC |
| Practice Address |
1500 W Main St Unit 110 Laurens SC 29360-3767 |
| Mailing Address |
119 Young Harris Dr Simpsonville SC 29681-8115 |
| Practice Telephone | 8647152227 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Authorized Official Name | CHIKA AGU (CEO) |
| Authorized Official Telephone | 8647152227 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
7101 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004220 | Sunnyside Family Dentistry LLC | Clinic/Center | 11808 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2018-08-27 |
| Street Address |
1500 W MAIN ST UNIT 110 |
| City | LAURENS |
| State | SC |
| Zip Code | 29360-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
| 1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
| 1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
| 1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
| 1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
| 1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
| 1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
| 1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
| 1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
| 1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
| Find all providers in zip 29360 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902038052 | Laurens Dentistry, LLC | Clinic/Center | 810 E Main St, Suite G, Laurens, SC 29360-3535 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386613 | Grinville Dentistry LLC | Clinic/Center | 114 Laurens Rd Ste A, Greenville, SC 29607-1826 | 2020-11-06 |
| 1699380923 | Beaufort Center for Dentistry LLC | Clinic/Center | 1264 Ribaut Rd Ste 401, Beaufort, SC 29902-6129 | 2020-09-14 |
| 1154934354 | Spectrum Integrative Dentistry | Clinic/Center | 2131 Woodruff Rd Ste 1100, Greenville, SC 29607-5934 | 2020-08-26 |
| 1992316053 | Childrens Dentistry of Greenville | Clinic/Center | 410 Pelham Rd Ste A, Greenville, SC 29615-3502 | 2020-08-12 |
| 1457978207 | Dash Dental LLC | Clinic/Center | 310 Business Pkwy Ste D, Greer, SC 29651-7118 | 2020-06-28 |
| 1851916332 | Palmetto Advanced Dentistry | Clinic/Center | 2021 Bridgemill Dr Ste 100, Indian Land, SC 29707-9211 | 2020-06-10 |
| 1326669714 | River Landing Dentistry At Nexton LLC | Clinic/Center | 200 Brighton Park Blvd Ste A, Summerville, SC 29486-3000 | 2020-04-27 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1215570643 | Pearl Dental Studio | Clinic/Center | 117 Batesville Rd Ste 202, Simpsonville, SC 29681-4815 | 2019-10-17 |
| 1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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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.