Provider Demographics
NPI:1538323753
Name:SONNENBERG, EDWARD M (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:SONNENBERG
Suffix:
Gender:M
Credentials:DDS
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Other - First Name:
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Mailing Address - Street 1:230 ROUTE 206
Mailing Address - Street 2:PO BOX 699
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9189
Mailing Address - Country:US
Mailing Address - Phone:973-927-2260
Mailing Address - Fax:973-927-8356
Practice Address - Street 1:230 ROUTE 206
Practice Address - Street 2:SUITE 305
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9189
Practice Address - Country:US
Practice Address - Phone:973-927-2260
Practice Address - Fax:973-927-8356
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DL010658001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry