Provider Demographics
NPI:1396905485
Name:SONNEN, ROSAMOND TOMLINSON (DDS)
Entity type:Individual
Prefix:DR
First Name:ROSAMOND
Middle Name:TOMLINSON
Last Name:SONNEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROSAMOND
Other - Middle Name:ELISE
Other - Last Name:TOMLINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:431 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-7847
Mailing Address - Country:US
Mailing Address - Phone:903-654-8965
Mailing Address - Fax:
Practice Address - Street 1:431 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-7847
Practice Address - Country:US
Practice Address - Phone:850-477-2355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238541223G0001X
FLDN19607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice