Sonrisa Family Dental Georgia II LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SONRISA FAMILY DENTAL GEORGIA II LLC

Practice address

1200 Sherwood Park Dr NE
Gainesville, GA 30501-3445

Phone

(678) 383-4180

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Jason Korkus, DDS

Title

Owner/President

Phone

(312) 925-0042

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1508536129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S MORGAN ST STE 207-208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091533",
            "telephone_number": "312-722-6460",
            "fax_number": "312-893-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHERWOOD PARK DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013445",
            "telephone_number": "678-383-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA FAMILY DENTAL GEORGIA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KORKUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-925-0042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Georgia",
            "affiliation": "N",
            "address_1": "1200 Sherwood Park Dr NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sybil Sobanjo, MD
• Huma Sohail, MD
• Evelin Solis Ramirez, PT, DPT
• Suvarchala Somayajula, M.D.
• Karan Soni
• Varachati Soodjinda, M.D.
• Stephen W Sorrells, LPC
• Glenn Duke Sosebee, D.M.D.
• Stanley Sotnikov, DDS
• South Ga Orthopedic Resources Inc

• General Practice Dentistry in Gainesville, GA
• Providers in Gainesville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.