Provider Demographics
NPI:1225177181
Name:GORDON D. SOKOLOFF D.D.S.
Entity Type:Organization
Organization Name:GORDON D. SOKOLOFF D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-567-1992
Mailing Address - Street 1:220 MIRACLE MILE
Mailing Address - Street 2:SUITE 228
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5910
Mailing Address - Country:US
Mailing Address - Phone:305-567-1992
Mailing Address - Fax:305-567-9598
Practice Address - Street 1:220 MIRACLE MILE
Practice Address - Street 2:SUITE 228
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5910
Practice Address - Country:US
Practice Address - Phone:305-567-1992
Practice Address - Fax:305-567-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental