Provider Demographics
NPI:1942631833
Name:PAULA SONES, DDS, PC
Entity Type:Organization
Organization Name:PAULA SONES, DDS, PC
Other - Org Name:CAMBRIDGE SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:SONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-547-9100
Mailing Address - Street 1:2400 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1854
Mailing Address - Country:US
Mailing Address - Phone:617-547-9100
Mailing Address - Fax:617-547-2962
Practice Address - Street 1:2400 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1854
Practice Address - Country:US
Practice Address - Phone:617-547-9100
Practice Address - Fax:617-547-2962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1855509261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental