# SUNSHINE ORAL SURGERY II, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Corners Oral Surgery & Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336006782
- **Authorized official:** SHIN KIM DDS (OWNER)
- **Authorized official phone:** (516) 376-8471

## Contact information

- **Practice address:** 17075 CAGAN RIDGE BLVD STE 103, CLERMONT, FL 34714-9619
- **Practice address phone:** (516) 376-8471
- **Mailing address:** 100 S EOLA DR \# P219, ORLANDO, FL 32801-2888
- **Mailing address phone:** (516) 376-8471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 01/07/2026