Sunny Smiles Dental Center, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4962 Issued in AL

Legal business name

SUNNY SMILES DENTAL CENTER, LLC

Practice address

401 Lowell Dr SE
Suite 17
Huntsville, AL 35801-3748

Phone

(256) 533-0434

Fax

(256) 533-2682

NPI assigned

Mar 13, 2014

Last updated

Mar 13, 2014By 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. John Stallens, DDSNPI 1427253509

Title

Dentist/Owner

Phone

(256) 533-0434

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.

• John Marshall Stallens III, DDS

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1427253509
  NPD (past) Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1336565449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18785",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048785",
            "telephone_number": "256-533-0434",
            "fax_number": "256-533-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOWELL DR SE",
            "address_2": "SUITE 17",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013748",
            "telephone_number": "256-533-0434",
            "fax_number": "256-533-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILES DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "STALLENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-533-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "4962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.