Robert L Soper DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11432 Issued in MA

Legal business name

ROBERT L SOPER DDS

Practice address

25 Lowell St
Wilmington, MA 01887-3238

Phone

(978) 658-5656

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Lynne Thomas

Title

Practice Administrator

Phone

(978) 658-5656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1053688879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST",
            "address_2": "PO BOX 499",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873238",
            "telephone_number": "978-658-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873238",
            "telephone_number": "978-658-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SOPER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "978-658-5656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wilmington, MA
• Providers in Wilmington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.