Provider Demographics
NPI:1104311034
Name:SUNNY SMILES KIDS DENTISTRY
Entity type:Organization
Organization Name:SUNNY SMILES KIDS DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-757-6453
Mailing Address - Street 1:5481 N UNIVERSITY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4643
Mailing Address - Country:US
Mailing Address - Phone:954-757-6455
Mailing Address - Fax:954-757-6161
Practice Address - Street 1:5481 N UNIVERSITY DR STE 101
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4643
Practice Address - Country:US
Practice Address - Phone:954-757-6455
Practice Address - Fax:954-757-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-23
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8347261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1417148495OtherNATIONAL PLAN & PROVIDER ENUMERATION SYSTEM