NPI 1013420462

Stevon Ronald Sykes

Practitioner Dentist Ft Gordon, GA

Practice location

Address: USA Dental Health Activity Bldg 38801, Suite B&c, Ft Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Mailing address: 680 Crane Creek Dr APT 1021, Augusta, GA 30907-3666

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2901022456 (MI)

Other Dentist providers in Georgia →

Registry record

NPI: 1013420462
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2017
Record last updated: 8 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.