Healthcare Provider Details

I. General information

NPI: 1649135211
Provider Name (Legal Business Name): SUNSHINE FAMILY DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 BENEVA RD
SARASOTA FL
34232-3152
US

IV. Provider business mailing address

1215 BENEVA RD
SARASOTA FL
34232-3152
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-4553
  • Fax: 941-366-6705
Mailing address:
  • Phone: 941-366-4553
  • Fax: 941-366-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BITA SADEGHLO
Title or Position: OWNER
Credential: DDS
Phone: 215-713-7115