Provider Demographics
NPI:1295003598
Name:DR SUNNY OKOROJI MS DDS PA
Entity Type:Organization
Organization Name:DR SUNNY OKOROJI MS DDS PA
Other - Org Name:SUNNY DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKOROJI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DDS
Authorized Official - Phone:704-853-0709
Mailing Address - Street 1:1312 E GARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-5129
Mailing Address - Country:US
Mailing Address - Phone:704-853-0709
Mailing Address - Fax:704-861-9104
Practice Address - Street 1:1312 E GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5129
Practice Address - Country:US
Practice Address - Phone:704-853-0709
Practice Address - Fax:704-861-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies