Provider Demographics
NPI:1336931161
Name:SOROKOLIT, KATHRYN ADELAIDE (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ADELAIDE
Last Name:SOROKOLIT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 EDENBORN AVE APT 610
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4710
Mailing Address - Country:US
Mailing Address - Phone:817-739-0503
Mailing Address - Fax:
Practice Address - Street 1:5201 VETERANS MEMORIAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5122
Practice Address - Country:US
Practice Address - Phone:504-273-7156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist