MEDICARE: DR. DAVID KEITH SYLVESTER DDS

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	1223G0001X	General Practice Dentistry	4317	LA

General Provider Information

NPI Number	:	1336297977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KEITH SYLVESTER DDS

Provider Business Mailing Address
First Line	:	2014 GUS KAPLAN DRIVE
Second Line	:	DR KEITH SYLVESTER
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301
Country	:	US
Telephone Number	:	318-443-7080
Fax Number	:	318-443-7793

Provider Business Practice Location Address
First Line	:	2014 GUS KAPLAN DRIVE
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301
Country	:	US
Telephone Number	:	318-443-7080
Fax Number	:	318-443-7793

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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