Healthcare Provider Details

I. General information

NPI: 1023796216
Provider Name (Legal Business Name): LAURA SOFIA POPA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 2ND ST SE
CULLMAN AL
35055-3500
US

IV. Provider business mailing address

447 N CARPENTER ST UNIT 3F
CHICAGO IL
60642-6568
US

V. Phone/Fax

Practice location:
  • Phone: 256-734-8588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: