Provider Demographics
NPI:1881602597
Name:THOMAS-WEBB, SONYA LUCILLE (DDS)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:LUCILLE
Last Name:THOMAS-WEBB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 GREAT BRIDGE BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:910 GREAT BRIDGE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-6642
Practice Address - Country:US
Practice Address - Phone:757-549-0025
Practice Address - Fax:757-549-0371
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010072281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
250030OtherBLUE CROSS BLUE SHIELD
790040OtherUNITED CONCORDIA