Healthcare Provider Details

I. General information

NPI: 1932399433
Provider Name (Legal Business Name): DR. ARTHUR B. SORKIN & ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7915 MALCOLM RD SUITE 103
CLINTON MD
20735-1768
US

IV. Provider business mailing address

7915 MALCOLM RD SUITE 103
CLINTON MD
20735-1768
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-8887
  • Fax: 301-856-0353
Mailing address:
  • Phone: 301-856-8887
  • Fax: 301-856-0353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number7035
License Number StateMD

VIII. Authorized Official

Name: DR. ARTHUR B SORKIN
Title or Position: OFFICER
Credential: DDS., MS
Phone: 301-856-8887