Sunrise Dental Henderson LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3480 Issued in NV

Legal business name

SUNRISE DENTAL HENDERSON LLC

Practice address

1550 W Horizon Ridge Pkwy
Suite S
Henderson, NV 89012-3600

Phone

(702) 270-8880

Fax

(702) 270-8886

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ching Kuo Tony Lee, D.M.D.

Title

Dentist/President

Phone

(702) 270-8880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1306182019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY",
            "address_2": "SUITE S",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "702-270-8880",
            "fax_number": "702-270-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY",
            "address_2": "SUITE S",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "702-270-8880",
            "fax_number": "702-270-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DENTAL HENDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHING KUO TONY",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "702-270-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.