Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285296095 Individual Practitioner Female Practitioner

Dr. Kathleen Jing Sun , DDS

Dentist - General Practice • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Sun, DDS is a registered healthcare professional specializing in Dentist - General Practice in Daytona Beach, FL. Practice services are available at 1659 N CLYDE MORRIS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1659 N Clyde Morris Blvd

Daytona Beach, FL 32117

Telephone 3862741450
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN28754

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 35286

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215016589

Doctor of Dental Medicine

NPI 1386219848

Doctor of Dental Surgery

Dr. Jesse Reagin , DMD

Dentist - General Practice

NPI 1881811461

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 06, 2024

Registered at 1659 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117 (Tel: 3862741450)

📍
Updated Business Mailing Address June 06, 2024

Registered at 1227 N ATLANTIC AVE, NEW SMYRNA BEACH, FL 321692203 (Tel: 7134239442)

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 4502 WHITE OAK CT, SUGAR LAND, TX 774794701 (Tel: 7134239442)

📍
Updated Business Mailing Address July 01, 2019

Registered at 4502 WHITE OAK CT, SUGAR LAND, TX 774794701 (Tel: 7134239442)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as KATHLEEN SUN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Dentist (License #35286 in TX)

🟢
Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285296095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

1227 N Atlantic Ave

New Smyrna Beach, FL 321692203

Phone: 7134239442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.