Sunflower Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

DS031108L Issued in PA

Legal business name

SUNFLOWER FAMILY DENTAL PC

Doing business as

Sunflower Family Dental

Practice address

1501 Lower State Rd
Suite C
North Wales, PA 19454-1216

Phone

(267) 477-1711

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jin H Park, DMD

Title

Dentist/Owner

Phone

(215) 237-1865

Specialties & licenses 1

Addresses

Other names 1

• Sunflower Family Dental Doing business as

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1932647724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "SUITE C",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "267-477-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "SUITE C",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "267-477-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "215-237-1865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031108L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in North Wales, PA
• Providers in North Wales, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.