Individual
CHARLES DANIEL STOKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
116 W 3RD ST, ANACONDA, MT 59711-2205
(406) 563-7666
(406) 563-7666
Mailing address
116 W 3RD ST, ANACONDA, MT 59711-2205
(406) 563-7666
(406) 563-7666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MT1467
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113730
—
MT
Enumeration date
12/21/2006
Last updated
07/08/2007
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