Provider Demographics
NPI:1174726921
Name:KOROL, SERGEY (DMD)
Entity type:Individual
Prefix:DR
First Name:SERGEY
Middle Name:
Last Name:KOROL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7913
Mailing Address - Country:US
Mailing Address - Phone:561-833-1042
Mailing Address - Fax:561-659-5037
Practice Address - Street 1:2315 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7913
Practice Address - Country:US
Practice Address - Phone:561-833-1042
Practice Address - Fax:561-659-5037
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN151971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice