Provider Demographics
NPI:1306373667
Name:SUNSHINE SMILES DENTISTRY
Entity Type:Organization
Organization Name:SUNSHINE SMILES DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUVIDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHDEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-418-2298
Mailing Address - Street 1:365 MARKET PL STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3947
Mailing Address - Country:US
Mailing Address - Phone:770-998-8116
Mailing Address - Fax:
Practice Address - Street 1:365 MARKET PL STE 100
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3947
Practice Address - Country:US
Practice Address - Phone:770-998-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental