| Sunrise Dental Services, Pllc | |
|
6765 Sunset Strip Suite 3 Sunrise FL 33313-2894 | |
| (954) 572-1500 | |
| (954) 572-8501 |
| Full Name | Sunrise Dental Services, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6765 Sunset Strip, Sunrise, Florida |
| Authorized Official Name and Position | Nancy Orphanos (PRESIDENT) |
| Authorized Official Contact | 9545721500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Services, Pllc 6765 Sunset Strip Suite 3 Sunrise FL 33313-2894 Ph: (954) 572-1500 | Sunrise Dental Services, Pllc 6765 Sunset Strip Suite 3 Sunrise FL 33313-2894 Ph: (954) 572-1500 |
| NPI Number | 1982973764 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982973764 | NPI | - | NPPES |
| 075530300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16198 (Florida) | Primary |
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