=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336043033
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIKORA DENTAL AESTHETICS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2026
-----------------------------------------------------
Last Update Date | 10/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23975 NOVI RD STE A104
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48375-2459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-347-5959
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23975 NOVI RD STE A104
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48375-2459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-347-5959
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NICOLE MARIE SIKORA
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 248-347-5959
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------