Dr Robert J Stancill DDS Ms and Dr Robert P Sopko DDS PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6528 DR SOPKO Issued in NC

Legal business name

DR ROBERT J STANCILL DDS MS AND DR ROBERT P SOPKO DDS PA

Practice address

4601 Lake Boone Trail
Suite 2a
Raleigh, NC 27607

Phone

(919) 781-2334

Fax

(919) 781-2334

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Kelly Mansfield

Title

Office Manager

Phone

(919) 781-2334

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356417828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRAIL",
            "address_2": "SUITE 2A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-781-2334",
            "fax_number": "919-781-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRAIL",
            "address_2": "SUITE 2A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-781-2334",
            "fax_number": "919-781-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT J STANCILL DDS MS AND DR ROBERT P SOPKO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-781-2334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5880 DR STANCILL",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6528 DR SOPKO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.