Samuel Lee Stokke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1658 Issued in MT

Practice address

112 1St Ave So
Laurel, MT 59044-3359

Phone

(406) 628-8211

Fax

(406) 628-4423

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stokke Family Dentistry, PLLC

  • General Practice Dentistry
  • Laurel, MT
  • NPI 1013453141
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881772846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "address_2": "112 1ST AVE SO",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443359",
            "telephone_number": "406-628-8211",
            "fax_number": "406-628-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 1ST AVE SO",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443359",
            "telephone_number": "406-628-8211",
            "fax_number": "406-628-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKKE",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "5512702",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112944",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal Soelberg, PT, DPT
• Southern Montana Optometric Center, Inc
• Kayla Ashley Stewart, O.D., M.ED.
• Stokke Family Dentistry, PLLC
• Erica Stokke, D.D.S.
• Jay Donald Talbot, D.D.S.
• The Crossings
• The Laurel Clinic PLLC
• Total Eyecare P.C.
• Robert Ulrich, MD

• General Practice Dentistry in Laurel, MT
• Providers in Laurel, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.