| Sunshine Orthodontics | |
|
411 Washington Ave Ste 103 Kingston NY 12401-3722 | |
| (845) 592-2292 | |
| Not Available |
| Full Name | Sunshine Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 411 Washington Ave Ste 103, Kingston, New York |
| Authorized Official Name and Position | Ahmed Mansour (OWNER/PRESIDENT) |
| Authorized Official Contact | 8455922292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Orthodontics 1001 Route 376 Suite 1 Wappingers Falls NY 12590-6390 Ph: (845) 592-2292 | Sunshine Orthodontics 411 Washington Ave Ste 103 Kingston NY 12401-3722 Ph: (845) 592-2292 |
| NPI Number | 1225398209 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225398209 | NPI | - | NPPES |
| 02921286 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 053092 (New York) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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