Sunnyside Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DEN02762 Issued in RI

Legal business name

SUNNYSIDE FAMILY DENTAL

Practice address

381 Angell St
Providence, RI 02906-3214

Phone

(401) 272-4900

Fax

(401) 272-5989

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ozren Buntak, D.M.D.

Title

President

Phone

(401) 272-4900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053530733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063214",
            "telephone_number": "401-272-4900",
            "fax_number": "401-272-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063214",
            "telephone_number": "401-272-4900",
            "fax_number": "401-272-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUNTAK",
        "authorized_official_first_name": "OZREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-272-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Angell Sundin, LICSW
• Selim Suner, MD
• Chien-Ren James Sung, MD
• Vivian Sung, MD, MPH
• Naseem Sunnoqrot, MD
• Sunrise Adhc LLC
• Sunshine Pediatrics LLC
• Jared Sears Supple, MD
• Supportive Care I of Rhode Island PC
• Kristina Sura, MD

• Dentist in Providence, RI
• Providers in Providence, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.