Sunny Smiles P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017682 Issued in MI

Legal business name

SUNNY SMILES P.C.

Practice address

30060 23 Mile Rd
Chesterfield, MI 48047-5718

Phone

(586) 949-2240

Fax

(586) 949-2243

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Karen L Lenard

Title

Office Manager

Phone

(586) 949-2240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bay West Family Dental Doing business as

Locations

Practitioners 2

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

• Dipinjit S Grewal, DDS

  • General Practice Dentistry
  • Chesterfield, MI
  • NPI 1144370438
  NPD (past)
• Samar Mokhayesh, DDS

  • General Practice Dentistry
  • Chesterfield, MI
  • NPI 1972653244
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508069907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30060 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475718",
            "telephone_number": "586-949-2240",
            "fax_number": "586-949-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30060 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475718",
            "telephone_number": "586-949-2240",
            "fax_number": "586-949-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-949-2240"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4576013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay West Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audenaire Suggs
• Alexi Sumler
• Devon Summers
• Tishara Summers
• Mini Sunilkumar, M.D.
• Brad Sutherland, NP
• Christine Sutton
• SVS Vision Inc
• Areion Swain
• Zaeda Swinger

• General Practice Dentistry in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• General Practice Dentistry in Michigan

• 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.