DR. SUNNY C ALLEN (NPI# 1619167020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619167020 |
| Entity Type | Individual |
| Full Name | DR. SUNNY C ALLEN |
| Credential | DDS |
| Practice Address |
117 Saint Patricks Dr Waldorf MD 20603-4574 |
| Practice Telephone | 3018704553 |
| Mailing Telephone | 3018704553 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401411794 | VA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
14255 | MD | Dental Providers |
| Street Address |
117 SAINT PATRICKS DR |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033207956 | Rimple Singh | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2006-10-10 |
| 1255713368 | Radhika Patel | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2015-06-25 |
| 1053748228 | Amanda Tinesha Taylor | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2013-10-03 |
| 1902247331 | Ahmed Uthman | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2013-07-15 |
| 1821348293 | Rebekah Lileen Husker | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2012-09-13 |
| 1407123045 | Neibauer Dental Care, PC | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2011-11-28 |
| 1780882159 | Sammy Stefan Noumbissi | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1801094263 | Russell Morrow | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1558569012 | Bhavinkumar Patel | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-07-06 |
| 1588790570 | Chris Neibauer | Dentist | 117 Saint Patricks Dr, Waldorf, MD 20603-4574 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720387517 | Joanna Kempler | Dentist | 3460 Old Washington Rd, Suite 102, Waldorf, MD 20602-3240 | 2011-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1275902298 | Yeremi A Canizales Dds P A | Dentist | 572 Ritchie Hwy Ste F, Severna Park, MD 21146-2966 | 2015-09-21 |
| 1770911273 | Fotini Chrisopoulos | Dentist | 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 | 2013-10-18 |
| 1548514730 | Churchton Dental Care | Dentist | 5570 Shady Side Rd, Unit A, Churchton, MD 20733-9639 | 2012-11-09 |
| 1124396551 | Guadalupe Garcia Fay | Dentist | 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 | 2011-12-13 |
| 1598033136 | Mark Edward Brennan | Dentist | 882 Backbone Ct, Westminster, MD 21157-7745 | 2011-12-11 |
| 1366738536 | William E. Chmar | Dentist | 5952 Hubbard Dr, Rockville, MD 20852-4824 | 2011-06-25 |
| 1073812913 | Family Cosmetic & Implant Dentistry | Dentist | 3222 Powder Mill Rd, Adelphi, MD 20783-1037 | 2011-03-17 |
| 1831499433 | Stuart L. Graves Dental Associates, P.C. | Dentist | 11200 Rockville Pike Ste 115, Rockville, MD 20852-7114 | 2010-10-28 |
| 1578707204 | Andrea Denise Jackson | Dentist | 6912 Wade Ave, Clinton, MD 20735-2743 | 2009-04-24 |
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| 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.