Provider Demographics
NPI:1114084720
Name:JEFFRIES, SYLVIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:JEFFRIES
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 1:763 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-3428
Mailing Address - Country:US
Mailing Address - Phone:702-807-3292
Mailing Address - Fax:702-293-5774
Practice Address - Street 1:653 N STEPHANIE ST
Practice Address - Street 2:SUITE C-3
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2634
Practice Address - Country:US
Practice Address - Phone:702-435-3827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV44881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice