Sun Gate Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUN GATE DENTAL

Practice address

3750 Landmark Dr Ste E
Lafayette, IN 47905-6652

Phone

(317) 354-7999

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Carynthia Hanes, DDS, MSDNPI 1730853516

Title

Prosthodontist

Phone

(317) 354-7999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Hanes, DDS

  • Prosthodontics
  • Lafayette, IN
  • NPI 1730853516
  NPD Authorized official

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1205606670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 WATERSTONE WAY",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759001",
            "telephone_number": "131-735-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LANDMARK DR STE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056652",
            "telephone_number": "317-354-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN GATE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "CARYNTHIA",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "317-354-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sullivan, LCSW
• Tyler William Sullivan, LMHCA
• Kyrsten Leeann Summa, FNP-BC
• Thomas L Summer, MD
• Summit Radiology Services LLC
• Sunrise Recovery LLC
• Sunriver Psychotherapy
• Celenia Surface
• Surgicenter Group, LLC (Lafayette Ambulatory Surgery Center)
• Susan E Snyder DDS, PC

• Dentist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.