Healthcare Provider Details

I. General information

NPI: 1598851172
Provider Name (Legal Business Name): ANITA N SYKES D.D.S,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 DR DB TODD JR BLVD STE 106
NASHVILLE TN
37208-3501
US

IV. Provider business mailing address

1005 DR DB TODD JR BLVD STE 106
NASHVILLE TN
37208-3501
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-6360
  • Fax: 615-327-6067
Mailing address:
  • Phone: 615-327-6360
  • Fax: 615-327-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS0000009937
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: