Individual
SAMUEL LEE STOKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 1ST AVE SO, LAUREL, MT 59044-3359
(406) 628-8211
(406) 628-4423
Mailing address
PO BOX 356, 112 1ST AVE SO, LAUREL, MT 59044-3359
(406) 628-8211
(406) 628-4423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1658
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112944
—
MT
01
—
5512702
BLUE CHIP
MT
Enumeration date
11/01/2006
Last updated
07/08/2007
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