Provider Demographics
NPI:1609081827
Name:AGGARWAL SONI, BINDU (DMD)
Entity Type:Individual
Prefix:DR
First Name:BINDU
Middle Name:
Last Name:AGGARWAL SONI
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 1:2908 AMERICUS DR
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-9600
Mailing Address - Country:US
Mailing Address - Phone:615-550-4646
Mailing Address - Fax:615-550-4647
Practice Address - Street 1:2908 AMERICUS DR
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-9600
Practice Address - Country:US
Practice Address - Phone:615-550-4646
Practice Address - Fax:615-550-4647
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2012-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8519122300000X
KY91301223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist