MEDICARE: DR. JOEL A STOKES DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	105915	NV

General Provider Information

NPI Number	:	1437267028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL A STOKES DDS

Provider Business Mailing Address
First Line	:	8605 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2868
Country	:	US
Telephone Number	:	702-699-9876
Fax Number	:	702-212-9876

Provider Business Practice Location Address
First Line	:	8605 S EASTERN AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2868
Country	:	US
Telephone Number	:	702-699-9876
Fax Number	:	702-212-9876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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