Healthcare Provider Details

I. General information

NPI: 1528273703
Provider Name (Legal Business Name): DANIEL P SYKES DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23680 US HIGHWAY 19 N
CLEARWATER FL
33765-1571
US

IV. Provider business mailing address

2045 GULF TO BAY BLVD
CLEARWATER FL
33765-3752
US

V. Phone/Fax

Practice location:
  • Phone: 727-799-1010
  • Fax: 727-799-6909
Mailing address:
  • Phone: 727-443-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17030
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN17030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: