Provider Demographics
NPI:1467531574
Name:SOOD, ANNU (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNU
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EASTOWNE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6224
Mailing Address - Country:US
Mailing Address - Phone:919-251-9313
Mailing Address - Fax:919-251-9316
Practice Address - Street 1:501 EASTOWNE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6224
Practice Address - Country:US
Practice Address - Phone:919-251-9313
Practice Address - Fax:919-251-9316
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice