Provider Demographics
NPI:1194239343
Name:SUNSHINE DENTISTRY PC
Entity type:Organization
Organization Name:SUNSHINE DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNSHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-879-7572
Mailing Address - Street 1:100 PARK AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-5185
Mailing Address - Country:US
Mailing Address - Phone:970-879-7572
Mailing Address - Fax:970-879-8660
Practice Address - Street 1:100 PARK AVE STE 212
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5185
Practice Address - Country:US
Practice Address - Phone:970-879-7572
Practice Address - Fax:970-879-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9016332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment