Healthcare Provider Details

I. General information

NPI: 1518036078
Provider Name (Legal Business Name): ALAN BRIAN SYKES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116 CREEDMOOR RD
RALEIGH NC
27613-4365
US

IV. Provider business mailing address

8116 CREEDMOOR RD
RALEIGH NC
27613-4365
US

V. Phone/Fax

Practice location:
  • Phone: 919-848-6560
  • Fax: 919-848-9349
Mailing address:
  • Phone: 919-848-6560
  • Fax: 919-848-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number200001400958
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: