Provider Demographics
NPI:1073211298
Name:SONI, MOHIT PRAGNESHKUMAR (DDS)
Entity type:Individual
Prefix:
First Name:MOHIT
Middle Name:PRAGNESHKUMAR
Last Name:SONI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4457 GOLD MEDAL PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7343
Mailing Address - Country:US
Mailing Address - Phone:586-224-6572
Mailing Address - Fax:
Practice Address - Street 1:7355 N BEACH ST STE 133
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-1898
Practice Address - Country:US
Practice Address - Phone:817-935-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00205442122300000X
TX41369122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO171504639OtherDRIVER LICENSE