NPI 1033696935

Jennifer Soprych, DMD

Practitioner General Practice Dentistry O Fallon, MO

Practice location

Address: 3009 Highway K, O Fallon, MO 63368-8696
Phone: (636) 379-7552

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2018020933 (MO)

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Registry record

NPI: 1033696935
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2018
Record last updated: 24 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.