Provider Demographics
NPI:1255330668
Name:DYKES, CALVIN R (DDS)
Entity Type:Individual
Prefix:MR
First Name:CALVIN
Middle Name:R
Last Name:DYKES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5785 SPRING MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8844
Mailing Address - Country:US
Mailing Address - Phone:702-368-3854
Mailing Address - Fax:702-368-3877
Practice Address - Street 1:5785 SPRING MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8844
Practice Address - Country:US
Practice Address - Phone:702-368-3854
Practice Address - Fax:702-368-3877
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2677122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist