Provider Demographics
NPI:1700105574
Name:SANKOWSKI, CHRISTINE J (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:J
Last Name:SANKOWSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-4303
Mailing Address - Country:US
Mailing Address - Phone:215-360-5869
Mailing Address - Fax:
Practice Address - Street 1:5 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-4303
Practice Address - Country:US
Practice Address - Phone:215-360-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY556591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry