Provider Demographics
NPI:1255216651
Name:SUNRAYS SMILES DENTAL CARE INC
Entity type:Organization
Organization Name:SUNRAYS SMILES DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LAGE
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-261-5659
Mailing Address - Street 1:116 W STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2551
Mailing Address - Country:US
Mailing Address - Phone:321-765-4790
Mailing Address - Fax:
Practice Address - Street 1:116 W STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2551
Practice Address - Country:US
Practice Address - Phone:321-765-4790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty