Individual
MICHAEL SOKOLOSKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
869 OAKWOOD ROAD, CHARLESTON, WV 25314-2057
(304) 343-5161
(304) 343-5205
Mailing address
869 OAKWOOD ROAD, CHARLESTON, WV 25314-2057
(304) 343-5161
(304) 343-5205
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2578
WV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
78
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137917000
—
WV
Enumeration date
08/12/2006
Last updated
05/15/2012
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