Organization · Type 2 NPI

Sunrise Redstone PLLC

Dental Clinic/Center · Odessa, FL

NPI number 1124901368 Active

Practice location

16238 Redstone Way
Odessa, FL 33556-4668

Mailing address

4062 Cloud Hopper Way
Lutz, FL 33559-6933

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1124901368

Sunrise Redstone PLLC's National Provider Identifier is 1124901368, issued on Jul 28, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Odessa, FL. The record was last updated on Jul 28, 2025.