Organization Active NPI

Sunny Bay Dental Centers LLC

  • Dental Clinic/Center
  • Sarasota, FL
National Provider Identifier
1265322440
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUNNY BAY DENTAL CENTERS LLC
Practice address
6305 Initiative Blvd
Sarasota, FL 34240-1382
Phone
(941) 298-0899
Fax
(941) 298-0889
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Anny M Clementino de Sa, DDSNPI 1154908341
Title
Dentist
Phone
(941) 298-0899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6305 Initiative Blvd
Sarasota, FL 34240-1382

Mailing address

6305 Initiative Blvd
Sarasota, FL 34240-1382
Phone (941) 298-0899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1265322440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 INITIATIVE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401382",
            "telephone_number": "941-298-0899",
            "fax_number": "941-298-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 INITIATIVE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401382",
            "telephone_number": "941-298-0899",
            "fax_number": "941-298-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY BAY DENTAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "CLEMENTINO DE SA",
        "authorized_official_first_name": "ANNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-298-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.