MEDICARE: DR. SOPANIS D. CHO D.D.S.

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
1	1223G0001X	General Practice Dentistry	12010540A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871626242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOPANIS D. CHO D.D.S.

Provider Business Mailing Address
First Line	:	6350 E 56TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-1636
Country	:	US
Telephone Number	:	317-514-7063
Fax Number	:

Provider Business Practice Location Address
First Line	:	6202 EVANSTON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-2100
Country	:	US
Telephone Number	:	317-251-0085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	05/20/2026

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Directions to “ DR. SOPANIS D. CHO D.D.S.” Practice Location

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