Provider Demographics
NPI:1093726762
Name:SOKOLOFF, TERENCE MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:MICHAEL
Last Name:SOKOLOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 1098
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:ME
Mailing Address - Zip Code:04864
Mailing Address - Country:US
Mailing Address - Phone:207-273-2835
Mailing Address - Fax:207-273-2003
Practice Address - Street 1:236 ATLANTIC HWY
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:ME
Practice Address - Zip Code:04864
Practice Address - Country:US
Practice Address - Phone:207-273-2835
Practice Address - Fax:207-273-2003
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME23731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice