Provider Demographics
NPI:1265683668
Name:CHOPRA, SONIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:CHOPRA
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 1:14135 BALLANTYNE CORPORATE PL
Mailing Address - Street 2:SUITE #215
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3383
Mailing Address - Country:US
Mailing Address - Phone:704-541-7017
Mailing Address - Fax:704-541-7019
Practice Address - Street 1:14135 BALLANTYNE CORPORATE PL
Practice Address - Street 2:SUITE #215
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3383
Practice Address - Country:US
Practice Address - Phone:704-541-7017
Practice Address - Fax:704-541-7019
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC84851223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics