Sonia Barbosa-Ruiz DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

DS029129L Issued in PA

Legal business name

SONIA BARBOSA-RUIZ DMD PC

Doing business as

Bloomfield Avenue Dental Associates

Practice address

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803

Phone

(610) 284-4770

Fax

(484) 273-0553

NPI assigned

Aug 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Shin, DDS

Title

Associate Dentist

Phone

(610) 284-4770

Specialties & licenses 2

Addresses

Other names 1

• Bloomfield Avenue Dental Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013432590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770",
            "fax_number": "484-273-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIA BARBOSA-RUIZ DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "610-284-4770",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029129L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029129L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Avenue Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy A Slavin, M.D.
• Michael Jay Slavin, M.D.
• Catherine Sliman
• Maria Rose Snyder, PA-C
• Eric Solomon, DO
• Despina Soppas, M.D.
• Peter S Sottile, DC
• Charles Sovetsky, DO
• Special Friends Foundation, Inc.
• Special Friends Foundation, Inc.

• Dentist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.