Healthcare Provider Details

I. General information

NPI: 1033045208
Provider Name (Legal Business Name): JAMES WILLIAM SIKES III DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 COUNTRY CLUB CIR
MINDEN LA
71055-7502
US

IV. Provider business mailing address

164 COUNTRY CLUB CIR STE C
MINDEN LA
71055-7502
US

V. Phone/Fax

Practice location:
  • Phone: 318-639-9559
  • Fax: 318-639-9560
Mailing address:
  • Phone: 318-639-9559
  • Fax: 318-639-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7824
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: