Provider Demographics
NPI:1104811199
Name:STOKES, JOSEPHINE LYNNE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:LYNNE
Last Name:STOKES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 E 22ND AVE STE E
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2989
Mailing Address - Country:US
Mailing Address - Phone:541-686-3003
Mailing Address - Fax:541-246-8672
Practice Address - Street 1:622 E 22ND AVE STE E
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2989
Practice Address - Country:US
Practice Address - Phone:541-686-3003
Practice Address - Fax:541-246-8672
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD81171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice