Provider Demographics
NPI:1174009922
Name:DR. ARTHUR B. SORKIN, D.D.S., LLC
Entity Type:Organization
Organization Name:DR. ARTHUR B. SORKIN, D.D.S., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:SORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:301-638-9350
Mailing Address - Street 1:3460 OLD WASHINGTON RD.
Mailing Address - Street 2:SUITE 301-B
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602
Mailing Address - Country:US
Mailing Address - Phone:301-638-9350
Mailing Address - Fax:301-638-9353
Practice Address - Street 1:3460 OLD WASHINGTON RD.
Practice Address - Street 2:SUITE 301-B
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602
Practice Address - Country:US
Practice Address - Phone:301-638-9350
Practice Address - Fax:301-638-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD70351223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty