Active NPI
Sunshine Oral Surgery II, P.a.
Doing business as Four Corners Oral Surgery & Dental Implant Center
- Oral and Maxillofacial Surgery (Dentist)
- Clermont, FL
National Provider Identifier
1336006782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- SUNSHINE ORAL SURGERY II, P.A.
- Doing business as
- Four Corners Oral Surgery & Dental Implant Center
- Practice address
- 17075 Cagan Ridge Blvd Ste 103
Clermont, FL 34714-9619 - Phone
- (516) 376-8471
- NPI assigned
- Jan 7, 2026
- Last updated
- Jan 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shin Kim, DDS
- Title
- Owner
- Phone
- (516) 376-8471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
17075 Cagan Ridge Blvd Ste 103
Clermont, FL 34714-9619
Mailing address
100 S Eola Dr # P219
Orlando, FL 32801-2888
Phone (516) 376-8471
Other names 1
- Four Corners Oral Surgery & Dental Implant Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Kissimmee, FL
- NPI 1659555001
-
- General Practice Dentistry
- Kissimmee, FL
- NPI 1053674424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1336006782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S EOLA DR # P219",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012888",
"telephone_number": "516-376-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 CAGAN RIDGE BLVD STE 103",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347149619",
"telephone_number": "516-376-8471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE ORAL SURGERY II, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "SHIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-376-8471",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Four Corners Oral Surgery & Dental Implant Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clermont, FL
- Suncoast Medical Central Florida LLC
- Suncoast Medical of Clermont (Alliance Regenerative Medical Centers)
- Yih-Tsyr Sung, DMD
- Sunrise Counseling Services, PLLC
- Sunshine Medical & Aesthetic Center Corporation
- Sunshine Therapy Group, PA
- Supreme Nursing Services
- Supreme Senior Living, LLC
- Chelsea A Suriel, LCSW
- Prakash Goutham Beleyur Suryanarayana, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.