Oliver Sun

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11445 Issued in CT

Practice address

5406 Mayfield Rd
Lyndhurst, OH 44124-2912

Phone

(440) 684-4000

NPI assigned

Jul 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sun Dental and Associates LLC

  • General Practice Dentistry
  • Lyndhurst, OH
  • NPI 1821204777
  NPD Authorized official
• 3885 Main St Bridgeport Dental Inc

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1831771450
  NPD (past)
• Connecticut Family Dental, Inc

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1750696399
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1407239379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242912",
            "telephone_number": "440-684-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242912",
            "telephone_number": "440-684-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "OLIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Terry Streem, DDS
• Brenda S Stringer, MD
• Ludmila Sukhomlinova
• Summit Help LLC
• Sun Dental and Associates LLC
• Supler Osteopractic Physical Therapy, LLC
• Susan White Anesthesia, Inc.
• Kelly Anne Burke Sustar
• Suzanne Harrington LTD
• Marilyn Jean Swanson, DNP FNP-C

• General Practice Dentistry in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.