Sunny Smile IX Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUNNY SMILE IX INC

Practice address

106 Colony Place Rd
Plymouth, MA 02360-7233

Phone

(508) 830-0411

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Dongho Kim

Title

Owner

Phone

(508) 830-0411

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.

• Treasa Mathew, D.M.D

  • General Practice Dentistry
  • Quincy, MA
  • NPI 1205197720
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1457047672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441907088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLONY PLACE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607233",
            "telephone_number": "508-830-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILE IX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-830-0411"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Sullivan, M.ED, OTR/L, CEIS
• Shelby Lynne Sullivan, CRNA
• Susan Catherine Sullivan, PA-C
• Tom Sullivan
• Zheng Sun
• Surf to Summit Wellness
• Patricia Swain-Tierney
• Mackenzie Lee Swainamer, CNM, WHNP-BC
• Amanda Taylor Swartz, LMHC
• Jonathan Swartz, RPH

• General Practice Dentistry in Plymouth, MA
• Providers in Plymouth, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.