Sunrise Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUNRISE ORAL SURGERY, LLC

Practice address

16069 Comprint Cir
Gaithersburg, MD 20877-1321

Phone

(301) 762-0062

Fax

(301) 762-9110

NPI assigned

Feb 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Max McCusker

Title

Authorized Official

Phone

(949) 521-2757

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1013773001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 530 N",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840594817",
            "telephone_number": "949-521-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16069 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771321",
            "telephone_number": "301-762-0062",
            "fax_number": "301-762-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MCCUSKER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-521-2757"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Di Sun, DDS PHD
• Richard Sun, DDS
• Suncloud Health
• Sunflower Health & Wellness Consultants
• Bawi Thluai Sung, NP
• Mary Colette Suntum, CRNP
• Becky Lynn Rose Surrick
• Suzanne Carducci, O.D., L.L.C.
• Inna Sverdlova, MD
• Ashley Swann

• Oral and Maxillofacial Surgery (Dentist) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.