Sunrise Dental Service P.C.

Organization Active NPI General Practice Dentistry · Bohemia, NY

NPI 1619255791 · NPPES record last updated Jul 24, 2011

Key facts

NPI
1619255791
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DENTIST 039691 (NY)
Legal business name
SUNRISE DENTAL SERVICE P.C.
Practice address
1604 Lakeland Ave
Bohemia, NY 11716-2146
Phone
(631) 567-5566
NPI assigned
Jul 24, 2011
Organization subpart
No

Authorized official

Name
Dr. Ashokkumar Makadia NPI 1124441803
Title
President
Phone
(631) 567-5566

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

1604 Lakeland Ave
Bohemia, NY 11716
Phone (631) 567-5566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DENTIST 039691 NY Yes

Addresses

Primary practice location

1604 Lakeland Ave
Bohemia, NY 11716-2146

Mailing address

1604 Lakeland Ave
Bohemia, NY 11716-2146

Other providers in Bohemia, NY

All providers in Bohemia, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.