1. Home
  2. Directory
  3. New Mexico
  4. Roswell
  5. Dentist
  6. NPI Profile

COUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC.
NPI 1427897701
Dentist - General Practice in Roswell, NM

Active since May 24, 2024
317 W COUNTRY CLUB RD, ROSWELL, NM 88201(505) 850-6700 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC. (NPI 1427897701) is a healthcare organization registered as a general practice in Roswell, New Mexico and active in the NPI registry since May 2024. The organization lists Saneal Narendra Mistry, Owner, as its authorized official.

NPPES Registry Identity

NPI1427897701
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC.
Location Address317 W COUNTRY CLUB RDRoswell, NM 88201-5892
Mailing Address9 Charing Cross CtRoswell, NM 88201-0408 · (505) 850-6700
Phone(505) 850-6700
Organization SubpartNo
Authorized OfficialSaneal Narendra MistryOwner · (505) 850-6700
Enumeration DateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1427897701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
317 W COUNTRY CLUB RD, Roswell, NM 88201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN CHARLES MORAN DDS
Dentist (General Practice)
317 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (505) 624-0636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc.'s NPI number?

The NPI number for Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. is 1427897701. It was assigned to this organization in the NPPES registry on May 24, 2024.

Where is Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. located?

Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. is located at 317 W Country Club Rd, Roswell, NM 88201. The listed phone number is (505) 850-6700.

What is Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. accept?

Health plans from UnitedHealthcare list Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.