MEDICARE: JENNIFER J. SYLVIAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DN23882	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073044087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER J. SYLVIAN D.D.S.

Provider Business Mailing Address
First Line	:	3513 NW 33RD CT
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33309-5407
Country	:	US
Telephone Number	:	954-663-9995
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 US HIGHWAY 27 S
Second Line	:
City	:	SOUTH BAY
State	:	FL
Zip	:	33493-2213
Country	:	US
Telephone Number	:	954-663-9995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	06/13/2019

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