Provider Demographics
NPI:1225804578
Name:SOAP DENTAL PLLC
Entity Type:Organization
Organization Name:SOAP DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:646-200-1764
Mailing Address - Street 1:7A MIDDLESEX AVE
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4507
Mailing Address - Country:US
Mailing Address - Phone:508-720-0827
Mailing Address - Fax:
Practice Address - Street 1:7A MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4507
Practice Address - Country:US
Practice Address - Phone:508-720-0827
Practice Address - Fax:508-720-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental