Brent Douglas Sonner Iii, DDS is a
Dentist - General Practice based in Wakarusa, Indiana. Brent Douglas Sonner Iii is licensed to practice in Indiana (license number 12007738) and his current practice location is
901 E Waterford St, Wakarusa, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 862-1225.
NPI number for Brent Douglas Sonner Iii is 1073673141 and his current mailing address is 901 E Waterford St, Wakarusa, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073673141.
Healthcare Provider's Profile
Full Name | Brent Douglas Sonner Iii |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 901 E Waterford St, Wakarusa, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073673141
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brent Douglas Sonner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073673141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12007738 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Douglas Sonner Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brent Douglas Sonner Iii, DDS 901 E Waterford St, Wakarusa, IN 46573-9560 Ph: (574) 862-1225 | Brent Douglas Sonner Iii, DDS 901 E Waterford St, Wakarusa, IN 46573-9560 Ph: (574) 862-1225 |
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