Organization
SUNSHINE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN F TROCKEL MS, DDS (OWNER/ PARTNER)
(801) 319-0603
Entity
Organization
Contact information
Practice address
427 STONE WOOD DR STE 427, BROKEN ARROW, OK 74012-1026
(918) 364-2222
Mailing address
6632 S MEMORIAL DR, TULSA, OK 74133-2050
(918) 364-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200527720A
—
OK
05
—
200678140A
—
OK
05
—
200894410A
—
OK
Enumeration date
05/22/2025
Last updated
05/22/2025
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