Provider Demographics
NPI:1649372707
Name:SUNSHINE, STEPHEN H (DDS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:SUNSHINE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 QUEEN ANNE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3348
Mailing Address - Country:US
Mailing Address - Phone:856-429-0577
Mailing Address - Fax:856-429-0577
Practice Address - Street 1:1209 CHAPEL AVE WEST
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002
Practice Address - Country:US
Practice Address - Phone:856-665-1998
Practice Address - Fax:856-665-5972
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100832900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist