Provider Demographics
NPI:1083032080
Name:SINCLAIR, EMILY MARIE BENKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MARIE BENKE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11446 ABBOTS CROSS LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-1103
Mailing Address - Country:US
Mailing Address - Phone:757-377-0873
Mailing Address - Fax:
Practice Address - Street 1:11446 ABBOTS CROSS LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-1103
Practice Address - Country:US
Practice Address - Phone:757-377-0873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014141241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice