Provider Demographics
NPI:1972659035
Name:SOKOLOWSKI, CHESTER J (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:J
Last Name:SOKOLOWSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-2161
Mailing Address - Country:US
Mailing Address - Phone:203-804-8875
Mailing Address - Fax:203-306-3019
Practice Address - Street 1:607 ASPEN LN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-2161
Practice Address - Country:US
Practice Address - Phone:203-804-8875
Practice Address - Fax:203-306-3019
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6903122300000X, 1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No122300000XDental ProvidersDentist