Provider Demographics
NPI:1023058658
Name:NORRIS, SONJA G (DDS)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:G
Last Name:NORRIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 W LAKE LANSING RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8472
Mailing Address - Country:US
Mailing Address - Phone:517-908-0285
Mailing Address - Fax:517-908-0288
Practice Address - Street 1:231 W LAKE LANSING RD
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8472
Practice Address - Country:US
Practice Address - Phone:517-908-0285
Practice Address - Fax:517-908-0288
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI161911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice