Provider Demographics
NPI:1073721171
Name:SMITHSON, SONIA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:C
Last Name:SMITHSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 EXECUTIVE CENTER DR
Mailing Address - Street 2:SUITE 139
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5236
Mailing Address - Country:US
Mailing Address - Phone:615-377-9666
Mailing Address - Fax:615-377-9242
Practice Address - Street 1:7101 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 139
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5236
Practice Address - Country:US
Practice Address - Phone:615-377-9666
Practice Address - Fax:615-377-9242
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS44981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice