Sunlight Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNLIGHT DENTAL

Practice address

13856 W Waddell Rd Ste 102
Surprise, AZ 85379-3801

Phone

(623) 999-1200

Fax

(623) 259-1268

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer L Olsen

Title

Office Manager

Phone

(623) 999-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1871323154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13856 W WADDELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853793801",
            "telephone_number": "623-999-1200",
            "fax_number": "623-259-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13856 W WADDELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853793801",
            "telephone_number": "623-999-1200",
            "fax_number": "623-259-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-999-1200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun West Dental IV, LLC
• Keoni Kai Sun, RBT
• Suncoast Dental Inc
• Suncreek 2 Assisted Living LLC
• Aparna Sundaram, D.O.
• Sunrise Medical Associates LLC
• Sunrise Primary Care Partners PLLC
• Sunrose Anesthesia PLLC
• Sunshine Smiles Orthodontics LLC
• Sunwest Dental Center IV, LLC

• Dental Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.