Provider Demographics
NPI:1497894588
Name:SYKES, FRED L (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:L
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 1:7024 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-2211
Mailing Address - Country:US
Mailing Address - Phone:803-419-1327
Mailing Address - Fax:803-419-2974
Practice Address - Street 1:7024 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-2211
Practice Address - Country:US
Practice Address - Phone:803-419-1327
Practice Address - Fax:803-419-2974
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics