Jerry L Kronquist Sunset Dental Group Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JERRY L KRONQUIST SUNSET DENTAL GROUP INC

Practice address

1906 N Broadway
Santa Ana, CA 92706-2610

Phone

(714) 547-6671

Fax

(714) 547-4385

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jerry Lee Kronquist

Title

Office Manager

Phone

(171) 454-7667

Specialties & licenses 2

Addresses

Other names 1

• SUNSET DENTAL GROUP INC. Other name

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1548445463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-547-6671",
            "fax_number": "714-547-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062610",
            "telephone_number": "714-547-6671",
            "fax_number": "714-547-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L KRONQUIST SUNSET DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "KRONQUIST",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "171-454-7667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30388",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET DENTAL GROUP INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.