MEDICARE: DR. SYLVIA SAWIRES DMD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	22DI03088100	NJ

General Provider Information

NPI Number	:	1669113817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA SAWIRES DMD

Provider Business Mailing Address
First Line	:	215 FERN AVE
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-2123
Country	:	US
Telephone Number	:	201-620-0710
Fax Number	:

Provider Business Practice Location Address
First Line	:	3123 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-2378
Country	:	US
Telephone Number	:	888-700-6623
Fax Number	:	718-325-0487

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

Provider Enumeration Date	:	04/03/2022
Last Update Date	:	08/13/2025

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