Provider Demographics
NPI:1518245802
Name:THE COLONY DENTIST
Entity Type:Organization
Organization Name:THE COLONY DENTIST
Other - Org Name:THE COLONY DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKRANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-624-0068
Mailing Address - Street 1:3805 MAIN ST STE 114
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2853
Mailing Address - Country:US
Mailing Address - Phone:972-624-0068
Mailing Address - Fax:972-624-8066
Practice Address - Street 1:3805 MAIN ST STE 114
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2853
Practice Address - Country:US
Practice Address - Phone:972-624-0068
Practice Address - Fax:972-624-8066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID ALLEN HUBBELL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1649494147OtherDR. VLAD SOKRANSKY'S NPI NUMBER WHO WILL BE WORKING FROM OUR OFFICE