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General NPI Number Information
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NPI Number | 1356464176
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Entity Type | Organization
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Legal Business Name | DMITRY D. SOKOL, D.D.S., L.T.D.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 185 MILWAUKEE AVE SUITE 214
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3010
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Country | US
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Telephone | 847-634-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 185 MILWAUKEE AVE SUITE 214
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3010
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Country | US
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Telephone | 847-634-3848
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. DMITRY D. SOKOL
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Credential | D.D.S.
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Telephone | 847-634-3848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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