Organization Active NPI

Sun Dental Inc

Doing business as Premier Dental Associates

  • Dentist
  • Lutz, FL
National Provider Identifier
1477702140
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13340 Issued in FL
Legal business name
SUN DENTAL INC
Doing business as
Premier Dental Associates
Practice address
1528 Land O Lakes Blvd
Suite 101
Lutz, FL 33549-2903
Phone
(813) 948-0404
Fax
(813) 948-4484
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Paresh Jayant Parikshak, DDSNPI 1700998192
Title
Owner/President
Phone
(727) 844-5520

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN13340 FL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN14074 FL

Addresses

Primary practice location

1528 Land O Lakes Blvd
Suite 101
Lutz, FL 33549-2903

Mailing address

1528 Land O Lakes Blvd
Suite 101
Lutz, FL 33549-2903
Phone (813) 948-0404

Other names 1

  • Premier Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1528 Land O Lakes Blvd
Ste 101
Lutz, FL 33549
Phone (813) 948-0404

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1477702140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 LAND O LAKES BLVD",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492903",
            "telephone_number": "813-948-0404",
            "fax_number": "813-948-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LAND O LAKES BLVD",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492903",
            "telephone_number": "813-948-0404",
            "fax_number": "813-948-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PARIKSHAK",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "JAYANT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-844-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13340",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.