Provider Demographics
NPI:1144677725
Name:PUNN, SONIA SOOD (DDS)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:SOOD
Last Name:PUNN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:SOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1385 SUNNY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1434
Mailing Address - Country:US
Mailing Address - Phone:516-458-7611
Mailing Address - Fax:
Practice Address - Street 1:165 MAIN ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4702
Practice Address - Country:US
Practice Address - Phone:914-632-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY0592841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program