Provider Demographics
NPI:1649532565
Name:SUNSHINE SMILE DESIGNS
Entity type:Organization
Organization Name:SUNSHINE SMILE DESIGNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYTON-DELLE- DONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-782-2312
Mailing Address - Street 1:5345 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-3928
Mailing Address - Country:US
Mailing Address - Phone:813-782-2312
Mailing Address - Fax:813-788-2156
Practice Address - Street 1:5345 3RD ST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-3928
Practice Address - Country:US
Practice Address - Phone:813-782-2312
Practice Address - Fax:813-788-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL122300000XOtherDENTIST