SUNNYSIDE FAMILY DENTAL (NPI# 1053530733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053530733 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE FAMILY DENTAL |
| Practice Address |
381 Angell St Providence RI 02906-3214 |
| Practice Telephone | 4012724900 |
| Practice Fax Number | 4012725989 |
| Mailing Telephone | 4012724900 |
| Mailing Fax Number | 4012725989 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OZREN BUNTAK (PRESIDENT) |
| Authorized Official Telephone | 4012724900 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN02762 | RI | Dental Providers |
| Street Address |
381 ANGELL ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574975 | Redwood Dental | Dentist | 271 N Spring Creek Pkwy, Suite D, Providence, UT 84332-9875 | 2015-12-18 |
| 1336492149 | Carmel Absi | Dentist | 3 Regency Plz, Providence, RI 02903-3161 | 2012-10-17 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1972734515 | Celeste C Mortenson | Dentist | 169 N Gateway Dr Ste 175, Providence, UT 84332-9825 | 2009-07-30 |
| 1740499136 | Roger N Carlsten | Dentist | 433 Lloyd Ave, Providence, RI 02906 | 2007-05-22 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1720111503 | Diane T Monti Markowski | Dentist | 931 Smith Street, Providence, RI 02908 | 2007-03-13 |
| 1265560445 | Jacob Werba Werba | Dentist | 655 Broad St, Providence, RI 02907-1444 | 2007-03-01 |
| 1487717302 | Ernest P. Votolato | Dentist | 266 Wayland Ave, Providence, RI 02906-4524 | 2006-12-19 |
| 1871679415 | Samuel R Zwetchkenbaum | Dentist | 56 Woodbury St, Providence, RI 02906-3510 | 2006-10-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on SUNNYSIDE FAMILY DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.