Organization Active NPI

Sunlite Family Dental PC

  • General Practice Dentistry
  • Hazel Park, MI
National Provider Identifier
1972156776
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNLITE FAMILY DENTAL PC
Doing business as
Sunlite Family Dental
Practice address
22826 John R Rd
Hazel Park, MI 48030-1702
Phone
(248) 548-1777
NPI assigned
Jul 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Authorized official

Name
Iman Zakar
Title
Office Manager
Phone
(248) 755-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

22826 John R Rd
Hazel Park, MI 48030-1702

Mailing address

23800 Orchard Lake Rd Ste 106
Farmington Hills, MI 48336-2561

Other names 1

  • Sunlite Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563580800000",
    "number": "1972156776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD STE 106",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362561"
        },
        {
            "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 FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A",
        "authorized_official_last_name": "ZAKAR",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-755-5700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunlite Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.