Icom Sunrise Llc is a Dental Clinic in Sunrise, Florida. It is located at 12651 W Sunrise Blvd, Sunrise, FL and its contact number is 954-356-2721. The authorized person for Icom Sunrise Llc is Tatiana Santiago Herzog
who is Dentist of the clinic and their contact number is 954-356-2721. Other organizations associated with this clinic are Icom Sunrise Llc, Florida Center For Oral Surgery & Dental Implants, John F. Largen, D.m.d., P.a.,
Icom Sunrise Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Icom Sunrise Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Icom Sunrise Llc |
| Specialization: | Dentistry |
| Clinic Address: | 12651 W Sunrise Blvd, Sunrise,
Florida, 33323-0906 |
| Phone: | 954-356-2721 |
| Fax: | 786-221-4442 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tatiana Santiago Herzog |
| Position: | Dentist |
| Contact Number: | 954-356-2721 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Icom Sunrise Llc clinic are as mentioned below.
| NPI Number: | 1093585853 |
| NPI Enumeration Date: | 03 Jan, 2024 |
| NPI Last Update On: | 03 Jan, 2024 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Icom Sunrise Llc | Dentistry | 1093585853 |
| Florida Center For Oral Surgery & Dental Implants | Oral and Maxillofacial Surgery | 1295150845 |
| John F. Largen, D.m.d., P.a. | General Practice Dentistry | 1992971683 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Icom Sunrise Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Icom Sunrise Llc
611 Ne 13th St,
Ft Lauderdale, Florida |
| Zip: | 33304-1109 |
| Phone Number: | 305-409-5392 |
| Fax Number: | -- |
Patients can reach Icom Sunrise Llc at
12651 W Sunrise Blvd, Sunrise, Florida or can
call to book an appointment on 954-356-2721.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.