Organization Active NPI

Sunshine State Dental Group , PA

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1316753833
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSHINE STATE DENTAL GROUP , PA
Practice address
8136 Okeechobee Blvd Ste B
West Palm Beach, FL 33411-2002
Phone
(561) 683-4488
Fax
(561) 683-4996
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNSHINE STATE DENTAL GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Ms. Veronica Vanesa Silva
Title
Office Manager
Phone
(561) 683-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8136 Okeechobee Blvd Ste B
West Palm Beach, FL 33411-2002

Mailing address

8136 Okeechobee Blvd Ste B
West Palm Beach, FL 33411-2002
Phone (561) 683-4488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1316753833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112002",
            "telephone_number": "561-683-4488",
            "fax_number": "561-683-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112002",
            "telephone_number": "561-683-4488",
            "fax_number": "561-683-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE DENTAL GROUP , PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE STATE DENTAL GROUP, PA",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "VANESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-683-4488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.