Healthcare Provider Details

I. General information

NPI: 1619042777
Provider Name (Legal Business Name): JULIUS JAMES SONKISS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: J JAMES SONKISS DDS

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3467 ORCHARD LAKE ROAD
KEEGO HARBOR MI
48320
US

IV. Provider business mailing address

3467 ORCHARD LAKE ROAD
KEEGO HARBOR MI
48320
US

V. Phone/Fax

Practice location:
  • Phone: 248-682-1700
  • Fax: 248-682-1730
Mailing address:
  • Phone: 248-682-1700
  • Fax: 248-682-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901009864
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: