Provider Demographics
NPI:1619450947
Name:SUNSTAR DENTAL, P. C.
Entity Type:Organization
Organization Name:SUNSTAR DENTAL, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:929-200-7789
Mailing Address - Street 1:3724 PARSONS BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5830
Mailing Address - Country:US
Mailing Address - Phone:929-200-7789
Mailing Address - Fax:929-200-7790
Practice Address - Street 1:3724 PARSONS BLVD FL 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5830
Practice Address - Country:US
Practice Address - Phone:929-200-7789
Practice Address - Fax:929-200-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental