Provider Demographics
NPI:1225136294
Name:RONALD SYLER DDS PA
Entity Type:Organization
Organization Name:RONALD SYLER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VONDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-521-2555
Mailing Address - Street 1:960 S MOUNT OLIVE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4220
Mailing Address - Country:US
Mailing Address - Phone:479-524-9610
Mailing Address - Fax:479-524-9610
Practice Address - Street 1:960 S MOUNT OLIVE ST
Practice Address - Street 2:SUITE B
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4220
Practice Address - Country:US
Practice Address - Phone:479-524-9610
Practice Address - Fax:479-524-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty