Individual
NINGYUAN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4747
Mailing address
716 STEVENS AVE OFC 308, PORTLAND, ME 04103-2666
(617) 690-9572
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN4997
ME
Other
Enumeration date
05/29/2019
Last updated
12/16/2025
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