Provider Demographics
NPI:1366501819
Name:SYKES, JOHN C (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:C
Last Name:SYKES
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 1:2647 BULVERDE RD
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-2105
Mailing Address - Country:US
Mailing Address - Phone:830-980-9004
Mailing Address - Fax:830-980-2248
Practice Address - Street 1:2647 BULVERDE RD
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2105
Practice Address - Country:US
Practice Address - Phone:830-980-9004
Practice Address - Fax:830-980-2248
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice