Provider Demographics
NPI:1730437450
Name:HAMON, SONJA ANN SPROUL (DDS)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:ANN SPROUL
Last Name:HAMON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:ANN
Other - Last Name:SPROUL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1585 COBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-689-2001
Mailing Address - Fax:541-463-1263
Practice Address - Street 1:1585 COBURG ROAD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-689-2001
Practice Address - Fax:541-463-1263
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9774122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist