Shanshan Sun, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27995 Issued in FL

Practice address

6182 N US Highway 41 Unit a
Apollo Beach, FL 33572-1805

Phone

(813) 771-0329

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apollo Beach Modern Dentistry, PA

  • General Practice Dentistry
  • Apollo Beach, FL
  • NPI 1912663535
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1043995863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6182 N US HIGHWAY 41 UNIT A",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721805",
            "telephone_number": "813-771-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6182 N US HIGHWAY 41 UNIT A",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721805",
            "telephone_number": "813-771-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SHANSHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Stewart, APRN, FNP-BC
• Tamara L Stewart, LCSW
• Paul Strolberg, AP
• Lovely Noell Sultenfuss, OTD, OTR/L
• Sun City Hospital Inc
• Sunbeam Collective LLC
• Suncoast Optimal Wellness
• Suzzette Marie Svercek, LMT
• Patrick Mark Sweeney, RPH
• Synergic Healthcare Solutions LLC

• General Practice Dentistry in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.