Sunlite Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017682 Issued in MI

Legal business name

SUNLITE DENTAL

Practice address

22826 John R Rd
Hazel Park, MI 48030-1702

Phone

(248) 548-1777

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Samar Mokhayesh

Title

Dentist

Phone

(248) 548-1777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922206507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52833 SEVEN OAKS DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483162992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22826 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301702",
            "telephone_number": "248-548-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOKHAYESH",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-548-1777"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Skeltis Sr.
• Marcus Antwan Smith, RN
• Robert Steenbergh
• Katie Nichole Sterner
• Kristina M Suede, N.P.
• Sunlite Family Dental PC (Sunlite Family Dental)
• Kiranmayi Surapaneni, MD
• Thomas N Weigel DDS PC
• Juliette Thomas
• Tri County MD PC

• General Practice Dentistry in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• General Practice Dentistry in Michigan

• 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.