Provider Demographics
NPI:1508875931
Name:SONIER, ROGER RUSSELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:RUSSELL
Last Name:SONIER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 NORTH PLEASANT STREET
Mailing Address - Street 2:SUITE 13
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1794
Mailing Address - Country:US
Mailing Address - Phone:413-253-7628
Mailing Address - Fax:413-253-2370
Practice Address - Street 1:196 NORTH PLEASANT STREET
Practice Address - Street 2:SUITE 13
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1794
Practice Address - Country:US
Practice Address - Phone:413-253-7628
Practice Address - Fax:413-253-2370
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice