Spring & Sprout Manal Sunna, DDS Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPRING & SPROUT MANAL SUNNA, DDS INC.

Doing business as

Spring & Sprout Pediatric Dentistry

Practice address

15380 Bagley Rd
Middleburg Heights, OH 44130-4824

Phone

(440) 568-8920

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Jennafer Mary Correll

Title

Revenue Cycle Manager

Phone

(303) 931-3949

Specialties & licenses 1

Addresses

Other names 1

• Spring & Sprout Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1871283572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15380 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304824",
            "telephone_number": "440-568-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15380 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304824",
            "telephone_number": "440-568-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING & SPROUT MANAL SUNNA, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "JENNAFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "303-931-3949"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring & Sprout Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie Spencer, LMT
• Mary L Spencer, A.A.
• John Patrick Spirnak, MD
• Lisa Spivey
• Laura Sprague, PMHNP
• Kathy F Springer, LISW,LICDC
• Ankita Sridhar
• Jessica St. Aubin, MSBS, PA-C
• Hillary Staebler, M.D.
• Michelle Stang

• Pediatric Dentistry in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.