Sunshine Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

000016 Issued in NY

Legal business name

SUNSHINE DENTAL PC

Practice address

140 Eastern Blvd
Watertown, NY 13601

Phone

(315) 779-8080

Fax

(315) 779-8085

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Aeklavya Panjali, DDSNPI 1417086125

Title

President

Phone

(315) 779-8080

Specialties & licenses 1

Addresses

Tax ID family

Sunshine Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunshine Dental PC

  • Dentist
  • Watertown, NY
  • NPI 1396167532
  NPD tax ID

Locations

Practitioners 1

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

• Aeklavya Panjali, DDS DDS

  • Dentist
  • Watertown, NY
  • NPI 1417086125
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841313095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EASTERN BLVD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-779-8080",
            "fax_number": "315-779-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EASTERN BLVD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-779-8080",
            "fax_number": "315-779-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANJALI",
        "authorized_official_first_name": "AEKLAVYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-779-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Sullivan
• Christopher Andrew Summers, PSY.D.
• Amy Wan-Jung Sung, L.AC.
• Yu Sung, D.O
• Sunshine Dental PC
• Michelle Sutera
• Wendy Sutliffe (Curtis)
• Ashley Swan, MSN,FNP-C
• Tara Swan, OPTICIAN
• Susan Ranae Swatsworth, PA

• General Practice Dentistry in Watertown, NY
• Providers in Watertown, NY by specialty
• General Practice Dentistry in New York

• 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.