MEDICARE: DR. JOSEPH SOKOLOWSKI D.D.S.

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	13709	MO

General Provider Information

NPI Number	:	1255324067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH SOKOLOWSKI D.D.S.

Provider Business Mailing Address
First Line	:	2386 N HIGHWAY 67
Second Line	:	SUITE TWO
City	:	FLORISSANT
State	:	MO
Zip	:	63033-2034
Country	:	US
Telephone Number	:	314-839-1100
Fax Number	:	314-839-8381

Provider Business Practice Location Address
First Line	:	2386 N HIGHWAY 67
Second Line	:	SUITE TWO
City	:	FLORISSANT
State	:	MO
Zip	:	63033-2034
Country	:	US
Telephone Number	:	314-839-1100
Fax Number	:	314-839-8381

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	07/08/2007

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