| Organization Name: | SUNSHINE DENTAL, INC. |
| NPI Number: | 1265722490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD J. MERCURIO (DENTIST/OWNER) |
| Mailing Address: | 9 Middletown Lincroft Rd Lincroft |
| State: | NJ US |
| Postal Code: | 077381511 |
| Phone Number: | 7328425005 |
| Fax Number: | 7328428608 |
| NPI Enumeration Date: | 04/08/2011 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22DI01142300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |