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NPI Code Detail

MEDICARE: DR. SONAL KAPOOR SOOD D.M.D

MEDICARE: DR. SONAL KAPOOR SOOD D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry61842KS
21223G0001XGeneral Practice Dentistry2017002678MO
31223G0001XGeneral Practice DentistryDN 21383FL

General Provider Information

NPI Number : 1396128161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONAL KAPOOR SOOD D.M.D
Provider Business Mailing Address
First Line : 1002 GLENBROOK WAY STE 200
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-1230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 N 12TH ST STE 400
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-5172
Country : US
Telephone Number : 816-922-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2015
Last Update Date : 11/15/2024

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