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General NPI Number Information
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NPI Number | 1356028088
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Entity Type | Individual
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Provider Name | SUMIT SONI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 2525 HOWELL BRANCH RD STE 1051
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City | CASSELBERRY
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State | FL
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Zip | 32707-6574
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Country | US
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Telephone | 321-972-1882
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BOARDWALK AVE APT 122
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City | OVIEDO
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State | FL
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Zip | 32765-6021
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Country | US
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Telephone | 902-989-0293
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28285
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License Number State | FL
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