Sunset Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02253300 Issued in NJ

Legal business name

SUNSET FAMILY DENTAL, LLC

Practice address

77 Garland LN
Willingboro, NJ 08046-3011

Phone

(609) 880-0098

Fax

(609) 880-0091

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Joan Espinosa

Title

Office Manager

Phone

(609) 880-0098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376553677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GARLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463011",
            "telephone_number": "609-880-0098",
            "fax_number": "609-880-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GARLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463011",
            "telephone_number": "609-880-0098",
            "fax_number": "609-880-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-880-0098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02253300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.