Healthcare Provider Details

I. General information

NPI: 1598406373
Provider Name (Legal Business Name): CAILEEN BRITTANY SYLVESTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 W KEARNEY ST
SPRINGFIELD MO
65803-1647
US

IV. Provider business mailing address

1802 W KEARNEY ST
SPRINGFIELD MO
65803-1647
US

V. Phone/Fax

Practice location:
  • Phone: 417-567-8227
  • Fax:
Mailing address:
  • Phone: 417-567-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2024000089
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2024000089
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: