Provider Demographics
NPI:1487800066
Name:ARMSTRONG, SOPHIA LYNN (DDS)
Entity type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:SOPHIA
Other - Middle Name:LYNN
Other - Last Name:DEVOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7410 AVENUE O
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9391
Mailing Address - Country:US
Mailing Address - Phone:713-724-7073
Mailing Address - Fax:
Practice Address - Street 1:7410 AVENUE O
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-9391
Practice Address - Country:US
Practice Address - Phone:713-724-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX195611223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451801Medicare Oscar/Certification
TX451905Medicare Oscar/Certification