# SUNLIGHT DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871323154
- **Authorized official:** JENNIFER L OLSEN (OFFICE MANAGER)
- **Authorized official phone:** (623) 999-1200

## Contact information

- **Practice address:** 13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
- **Practice address phone:** (623) 999-1200
- **Practice address fax:** (623) 259-1268
- **Mailing address:** 13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
- **Mailing address phone:** (623) 999-1200
- **Mailing address fax:** (623) 259-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2024
- **Last updated:** 08/02/2024