Provider Demographics
NPI:1134497936
Name:SYLVESTER, BARBARA J (RDH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 FIRST AVE SUITE 600
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701
Mailing Address - Country:US
Mailing Address - Phone:907-452-8251
Mailing Address - Fax:901-459-3837
Practice Address - Street 1:122 FIRST AVE SUITE 600
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99707-2585
Practice Address - Country:US
Practice Address - Phone:907-452-8251
Practice Address - Fax:901-459-3837
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH3728124Q00000X
AK11-076-DHAH247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other