Provider Demographics
NPI:1053731463
Name:KUMAR, SONYA (DMD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:
Last Name:KUMAR
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 1:1119 W CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29702-9221
Mailing Address - Country:US
Mailing Address - Phone:864-839-0034
Mailing Address - Fax:864-839-0064
Practice Address - Street 1:1119 W CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:SC
Practice Address - Zip Code:29702-9221
Practice Address - Country:US
Practice Address - Phone:864-839-0034
Practice Address - Fax:864-839-0064
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98321223G0001X
SC10429122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice