MEDICARE: SUNSET CHILDREN'S DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1639571607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET CHILDREN'S DENTISTRY

Provider Business Mailing Address
First Line	:	5080 SUNSET BLVD
Second Line	:	SUITE B
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7051
Country	:	US
Telephone Number	:	803-807-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	5080 SUNSET BLVD
Second Line	:	SUITE B
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7051
Country	:	US
Telephone Number	:	803-807-2787
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/ OWNER
Name	:	DR. KATHI SAMPLE
Credential	:	DMD
Telephone Number	:	803-807-2787

Provider Enumeration Date	:	09/22/2014
Last Update Date	:	09/22/2014

Similar Medicare Providers

1790279032 — SARA HOLDEN DDS
Practice Location Address:

5080 SUNSET BLVD STE A
LEXINGTON, SC
29072-7051

Practice Phone: 803-291-0880
Practice Fax:

1427982297 — KELSEY ASHLYNN TURNER
Practice Location Address:

2440 AUGUSTA HWY STE A
LEXINGTON, SC
29072-2247

Practice Phone: 803-769-3301
Practice Fax:

1336072883 — FAMILY DENTAL HEALTH GROUP LLC
Practice Location Address:

509 E MAIN ST
LEXINGTON, SC
29072-3605

Practice Phone: 803-359-9991
Practice Fax:

1669306072 — MRS. ASA SENA MURPHY-CALDWELL ED.S, BA
Practice Location Address:

203 W MAIN ST STE H5
LEXINGTON, SC
29072-2672

Practice Phone: 803-919-1794
Practice Fax:

1326411448 — LAKIA SINGLETON FNP-BC
Practice Location Address:

5608 SUNSET BLVD
LEXINGTON, SC
29072-2728

Practice Phone: 866-389-2727
Practice Fax:

1285325431 — JUSTIN ELLIS GROSSMAN FICHTNER MD
Practice Location Address:

811 W MAIN ST STE 204
LEXINGTON, SC
29072-2500

Practice Phone: 803-358-6420
Practice Fax: 803-358-6450

Directions to “SUNSET CHILDREN'S DENTISTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.