Provider Demographics
NPI:1316014897
Name:SYKES, TAMMY HARRIS (CDA)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:HARRIS
Last Name:SYKES
Suffix:
Gender:F
Credentials:CDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W TRYON ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2438
Mailing Address - Country:US
Mailing Address - Phone:919-245-2435
Mailing Address - Fax:919-644-3368
Practice Address - Street 1:200 N GREENSBORO ST
Practice Address - Street 2:CARR MILL MALL SUITE D15
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1833
Practice Address - Country:US
Practice Address - Phone:919-968-2040
Practice Address - Fax:919-968-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133902126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404475Medicaid
NC07146OtherBCBS NC