Kenneth Michael Sofranko in Moon Township - Dentist
Kenneth Michael Sofranko - NPI 1023109006
Kenneth Michael Sofranko is a Dentist in Moon Township, Pennsylvania. Kenneth Michael Sofranko practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Michael Sofranko is 1023109006. The last update date is 2007-07-08.
Kenneth Michael Sofranko's current location address is 928 Brodhead Rd, Moon Township, Pennsylvania. You can contact this provider via phone number 4122642405 and fax number 4122643810. The mailing address for Kenneth Michael Sofranko is 928 Brodhead Rd, Moon Township, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Michael Sofranko |
|---|---|
| Address | 928 Brodhead Rd, Moon Township, Pennsylvania |
| Phone Number | 4122642405 |
| Fax Number | 4122643810 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1023109006 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 928 Brodhead Rd |
|---|---|
| City | Moon Township |
| State | Pennsylvania (PA) |
| Post Code | 151082375 |
| Phone Number | 4122642405 |
| Fax Number | 4122643810 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS024919L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1011753540001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Michael Sofranko by the Centers for Medicare & Medicaid Services?
The Kenneth Michael Sofranko has been issued the NPI (National Provider Identifier) 1023109006, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth Michael Sofranko's physical address?
The Kenneth Michael Sofranko is physically located at 928 Brodhead Rd, in the city of Moon Township, PA, with the postal code 151082375.
What is Kenneth Michael Sofranko's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Michael Sofranko is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023109006 to Kenneth Michael Sofranko?
The Centers for Medicare & Medicaid Services originally issued the 1023109006 to Kenneth Michael Sofranko on 2006-09-27.
When was the Kenneth Michael Sofranko's information last updated?
The Kenneth Michael Sofranko's information was last updated on 2007-07-08.