Sun Dental Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUN DENTAL PROFESSIONAL CORPORATION

Practice address

7377 S Jones Blvd Ste 110
Las Vegas, NV 89139-0547

Phone

(702) 382-2709

NPI assigned

Nov 10, 2022

Organization subpart

No

Name

Dae Sun Lee, DDSNPI 1568916724

Title

President

Phone

(702) 382-2709

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

• Dae Sun Lee

  • Dentist
  • Las Vegas, NV
  • NPI 1568916724
  NPD Authorized official
• CHI Pham, D.D.S

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1285810317
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2023.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1710695424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-382-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-382-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAE SUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-382-2709",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandre Lamont Summlin
• Sun City Foot Care
• Sun City Hospice Inc
• Sun City Medical Center PLLC
• Sun City Medical Transport
• Sun Medical & Mobility Equipment
• Sun RX Drugs Inc
• Sun-Rise Community Services
• An-Pyng Sun, PHD, LCSW
• Changjiang Sun

• All providers in Las Vegas, NV
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.