Provider Demographics
NPI:1619042777
Name:SONKISS, JULIUS JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:JAMES
Last Name:SONKISS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:JAMES
Other - Last Name:SONKISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3467 ORCHARD LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320
Mailing Address - Country:US
Mailing Address - Phone:248-682-1700
Mailing Address - Fax:248-682-1730
Practice Address - Street 1:3467 ORCHARD LAKE ROAD
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320
Practice Address - Country:US
Practice Address - Phone:248-682-1700
Practice Address - Fax:248-682-1730
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010098641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice