Katelyn Dodsworth Sundin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015469 Issued in GA

Practice address

5871 Ga-21 S
Rincon, GA 31326

Phone

(912) 826-4037

NPI assigned

Jul 10, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174045322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 GA-21 S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 GA-21 S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7360 Skidaway Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064265",
            "country_code": "US",
            "telephone_number": "912-349-0472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDIN",
        "first_name": "KATELYN",
        "middle_name": "DODSWORTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacey Dian Stancil, PA-C
• Fredrick David Steese
• Gregory Stephens, PT
• Suncare Hospice LLC (SunCare Center Springfield)
• Suncare Hospice LLC (SunCare Hospice and Palliative Care)
• Sunrise Physical Therapy LLC
• Jessica Warner Swindell, FNP
• Tattnall Hospital Company LLC (Optim Medical Center Tattnall Rincon)
• Richard Alan Taylor, DMD
• Andrew R Tee VI, MD

• General Practice Dentistry in Rincon, GA
• Providers in Rincon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.