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Organization
SONES FAMILY DENTAL, LLC
Active
Organization
SONES FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MICHAEL SONES D.M.D. (OWNER)
(618) 656-0608
Entity
Organization
Contact information
Practice address
21 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 656-0608
(618) 656-0615
Mailing address
21 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 656-0608
(618) 656-0615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028342
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639499791
NPI
IL
01
—
1881262434
NPI
IL
Enumeration date
04/21/2014
Last updated
08/20/2024
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