# SUNSHINE FAMILY DENTISTRY AND ORTHODONTICS

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

## Provider details

- **NPI number:** 1952667206
- **Authorized official:** DR. GEORGE T LUIKHAM DDS (CEO)
- **Authorized official phone:** (706) 461-1631

## Contact information

- **Practice address:** 2605 W MILE 5 RD, SUITE 1 BLD E, MISSION, TX 78574-0972
- **Practice address phone:** (706) 461-1631
- **Mailing address:** 2605 W MILE 5 RD, SUITE 1 BLD E, MISSION, TX 78574-0972
- **Mailing address phone:** (706) 461-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26420 | TX | Yes |

## Other

- **Enumeration date:** 04/11/2012
- **Last updated:** 04/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | K0180686 | DPS | TX |