Organization Active NPI

Sun Dental PC

  • General Practice Dentistry
  • King of Prussia, PA
National Provider Identifier
1407933203
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031552L Issued in PA
Legal business name
SUN DENTAL PC
Practice address
120 Ivy Lane
King of Prussia, PA 19406
Phone
(610) 768-0008
Fax
(610) 768-0007
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Yong Sun, DMD PHDNPI 1538533500
Title
President Dentist
Phone
(610) 768-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS031552L PA Primary

Addresses

Primary practice location

120 Ivy Lane
King of Prussia, PA 19406

Mailing address

120 Ivy Lane
King of Prussia, PA 19406
Phone (610) 768-0008

National Provider Directory

National Provider Directory

Locations

120 Ivy Ln
King of Prussia, PA 19406
Phone (610) 768-0008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1407933203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 IVY LANE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-768-0008",
            "fax_number": "610-768-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 IVY LANE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-768-0008",
            "fax_number": "610-768-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "610-768-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031552L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.