Provider Demographics
NPI:1952086456
Name:SUNSHINE SMILES ORTHODONTICS LLC
Entity Type:Organization
Organization Name:SUNSHINE SMILES ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-730-6481
Mailing Address - Street 1:15331 W BELL RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4103
Mailing Address - Country:US
Mailing Address - Phone:602-730-6481
Mailing Address - Fax:602-730-6482
Practice Address - Street 1:15331 W BELL RD STE 112
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4103
Practice Address - Country:US
Practice Address - Phone:602-730-6481
Practice Address - Fax:602-730-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty