Provider Demographics
NPI:1881386621
Name:SUNSHINE SMILES DENTISTRY PLLC
Entity type:Organization
Organization Name:SUNSHINE SMILES DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YAMINI
Authorized Official - Middle Name:MC
Authorized Official - Last Name:GOLLAPUDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:678-756-7191
Mailing Address - Street 1:1233 SIOUX ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-3314
Mailing Address - Country:US
Mailing Address - Phone:678-756-7191
Mailing Address - Fax:
Practice Address - Street 1:2960 FARM TO MARKET RD FM 720
Practice Address - Street 2:SUITE 101
Practice Address - City:OAKPOINT
Practice Address - State:TX
Practice Address - Zip Code:75068
Practice Address - Country:US
Practice Address - Phone:469-809-2998
Practice Address - Fax:469-746-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental