Healthcare Provider Details

I. General information

NPI: 1073407235
Provider Name (Legal Business Name): SYDNEY NICOLE TOMPKINS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OPC 41 BOX 15
APO AE
09461-9001
US

IV. Provider business mailing address

OPC 41 BOX 15
APO AE
09461-9001
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8317
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number142353579926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: