Provider Demographics
NPI:1427200328
Name:SIBBIE, ERIKA MICHELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:MICHELLE
Last Name:SIBBIE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 KINGSGATE RDG
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-1823
Mailing Address - Country:US
Mailing Address - Phone:770-789-8649
Mailing Address - Fax:
Practice Address - Street 1:609 KINGSGATE RDG
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-1823
Practice Address - Country:US
Practice Address - Phone:770-789-8649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013799122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist